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Rheumatic Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Bursitis causes acute pain over the lateral side of the hip and proximal thigh that usually radiates distally and may cause swelling. The pain is often worsened by sitting. Trochanteric bursitis may be one of the presenting features of PMR.
Slipped Capital Femoral Epiphysis (SCFE)
Published in Benjamin Joseph, Selvadurai Nayagam, Randall T Loder, Anjali Benjamin Daniel, Essential Paediatric Orthopaedic Decision Making, 2022
The boy had immediate relief of pain, and he was allowed to return to full weight bearing at four weeks post-surgery. He gradually resumed playing basketball. There was some mild limitation of internal rotation in extension at −10 degrees. At the age of 15 years and 7 months, he began to complain of leftgroin pain while playing basketball. Physical examination demonstrated pain with internal rotation, flexion, and adduction of the hip, indicative of cam impingement. Radiographs confirmed impingement (Figure 57.8).
Orthopaedics
Published in Kaji Sritharan, Jonathan Rohrer, Alexandra C Rankin, Sachi Sivananthan, Essential Notes for Medical and Surgical Finals, 2021
Kaji Sritharan, Jonathan Rohrer, Alexandra C Rankin, Sachi Sivananthan
Described as instability or dysplasia of the hip joint. Otherwise known as Congenital Dislocation of the Hip (CDH). Three times more common in the left hip; bilateral in 10% of cases. Incidence is four times greater in girls and higher in Caucasians.
Desmoid fibromatosis presenting as lateral hip pain in an outpatient physical therapy clinic: A case report
Published in Physiotherapy Theory and Practice, 2023
Kelli Wrolstad, John J Mischke, Audrey RC Elias
Although the differential diagnosis list for hip pain is extensive (Table 3), the lateral location of pain, patient demographics, and mechanism of injury led the therapist to initially suspect an acetabular labrum tear or gluteus medius strain as the leading differential diagnoses. Considering the patient was a young, female golfer, she belonged to a demographic at higher risk for an acetabular labral tear. Groh and Herrera (2009) described how the rotational forces on a loaded femur during golfing can increase the risk of a labral tear due to the repetitive stress on the capsular ligaments, which can lead to rotational instability of the joint. Her pain was aggravated by activities commonly painful with a labral tear, such as walking, pivoting, stair climbing, and prolonged sitting (Cheatham, Enseki, and Kolber, 2016; Groh and Herrera, 2009). However, inconsistencies were present that did not align with a labral injury.
Effects of foam rolling on hip pain in patients with hip osteoarthritis: a retrospective propensity-matched cohort study
Published in Physiotherapy Theory and Practice, 2022
Hisashi Ikutomo, Koutatsu Nagai, Keiichi Tagomori, Namika Miura, Kenichi Okamura, Takato Okuno, Norikazu Nakagawa, Kensaku Masuhara
Hip osteoarthritis is a common cause of hip pain and disability. It often leads to deficits in hip mobility, muscle weakness, restriction in activities of daily living, and decreased quality of life (QOL) (Fautrel et al., 2005; Rydevik, Fernandes, Nordsletten, and Risberg, 2010; Steultjens et al., 2001). The crude prevalence of radiographic hip osteoarthritis is 18.2% and 14.3% in Japanese men and women, respectively (Iidaka et al., 2016). With the aging population, hip osteoarthritis is increasing, rendering it a major public health concern in developed countries (Guillemin et al., 2011; Jordan et al., 2009). Therefore, effective methods for treating and preventing hip pain and disability in patients with hip osteoarthritis are necessary. Exercise and awareness about arthritis are strongly recommended for non-surgical management of hip osteoarthritis by the American College of Rheumatology and the Osteoarthritis Research Society International (Bannure et al., 2019; Kolasinski et al., 2020). However, evidence concerning the effectiveness of conservative therapy for improving hip pain in patients with hip osteoarthritis remains inconclusive.
Relation of mobilization after hip fractures on day of surgery to length of stay
Published in Baylor University Medical Center Proceedings, 2022
James M. Rizkalla, Scott J. B. Nimmons, Asad Helal, Purvi Prajapati, Alan L. Jones
Hip fractures, which encompass fractures that occur from the subcapital femoral neck to the subtrochanteric region 5 cm distal to the lesser trochanter, are the focus of much research and scrutiny due to their significant morbidity and mortality as well as serious economic burden.1,2 Over 300,000 hip fractures occur every year in the USA, with an estimated cost of $9.2 billion annually.1,3–5 Even with continued advancements, in-hospital mortality after hip fracture surgery ranges from 1.5% to 11.5%.6,7 With the vast majority of hip fractures occurring in the >65-year age group, a population estimated to double by 2030, there is need for continued effort to improve outcomes after hip fracture surgery.8 Many studies have shown the benefits of early mobilization not only on short-term outcomes but also on ultimate return to function.9 In this study, the effect of a new protocol for early mobilization on the day of surgery was examined with regards to short-term outcomes and complications. We aimed to better understand the potential benefits and risks of early mobilization in hip fracture patients.