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Coxa Vara
Published in Benjamin Joseph, Selvadurai Nayagam, Randall T Loder, Anjali Benjamin Daniel, Essential Paediatric Orthopaedic Decision Making, 2022
The hip examination was grossly abnormal on both sides with fixed flexion deformities of 15° and further flexion being limited to 100°. Passive hip abduction was only 10° while the hips could be adducted to 60°. Internal and external rotations in extension were within the normal ranges.
Arthroscopic hip preservation surgery
Published in K. Mohan Iyer, Hip Preservation Techniques, 2019
A history followed by physical examination of the hip is key for evaluation of patients presenting with hip pain. A comprehensive history and detailed physical examination of the hip are key to identifying the pathology. A systematic assessment of the hip and surrounding structures that includes osteochondral, capsulolabral, musculotendinous, and neurovascular structures should be performed. Hip examination should be performed in a systematic and orderly approach with clear understanding of the principles of each test used. The findings during the examination will direct toward special tests and other areas to be examined in detail.
The injured child
Published in Ian Greaves, Keith Porter, Chris Wright, Trauma Care Pre-Hospital Manual, 2018
Ian Greaves, Keith Porter, Chris Wright
In the lower limb, toddler’s fractures (spiral fractures of the tibia) are a very common fracture in children. The typical presentation is a non-weight bearing child complaining of lower limb pain following what is often a very minor mechanism of injury. They typically occur in ambulatory children up to 3 years old. In older children an injury not to be missed is a slipped upper femoral epiphyses (SUFE). It should be excluded in any episode of trauma, minor or otherwise, leading to limp, hip, thigh or knee pain, and pain or restricted movement on hip examination in a child approaching puberty or older (10–17 years). Hospital referral should therefore be considered for any child who is not weight bearing.
The application of mechanical diagnosis and therapy on hip osteoarthritis: A case report
Published in Physiotherapy Theory and Practice, 2020
Lindsay Carlton, Joseph R. Maccio, Joseph G. Maccio, Colin McGowan
In an MDT examination, mechanical or symptomatic responses are tested first in the sagittal plane. If there is no favorable response, then alternative strategies are employed using repeated movement testing in the transverse or frontal planes (McKenzie, 1981; McKenzie and May, 2003). The Diplomat’s past experience using MDT in hip examination found if patients reported variable functional pain pattern (e.g. walking or stair negotiation was only sometimes painful), they were likely to fit the MDT classification of hip derangement (McKenzie and May, 2003). Although not validated, the treating therapist has recognized a common clinical pattern in the hip (Figure 1). The Diplomat has found hip derangements with limited passive flexion and passive internal rotation with end-range pain, and limited passive extension with less or no end-range pain, likely had a directional preference for hip extension (Figure 2a-b). If extension was not the directional preference, then hip extension combined with internal rotation (Figure 3) or hip internal rotation in a neutral sagittal position (Figure 4) were likely to be the patient’s directional preference (May and Rosedale, 2012).
Personalized hip joint kinetics during deep squatting in young, athletic adults
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2020
Jan Van Houcke, Pavel E. Galibarov, Gilles Van Acker, Sigrid Fauconnier, Ellen Allaert, Tom Van Hoof, Diogo F. Almeida, Gunther Steenackers, Christophe Pattyn, Emmanuel A. Audenaert
Healthy subjects, aged 18 to 25 years old, were prospectively recruited in the local student community. Ethical clearance was obtained from the Ghent University Hospital’s ethical board and all subjects signed an informed consent prior to data collection. Inclusion criteria were male gender, practicing more than 3 hours of sports weekly and body mass index below 25 kg/m2. Subjects were excluded in case there was any history of specific hip symptoms that could affect squatting kinematics. Furthermore, all subjects underwent a bilateral clinical hip examination in order to detect potential intra-articular hip pathology. Two subjects were not included because they reported pain during the FADIR test (Martin and Sekiya 2008; Reiman et al. 2015) or had a difference in knee to table distance between both hips of more than 5 cm during the FABER test (Philippon et al. 2007). A total number of 35 asymptomatic subjects was included. Demographic and anthropometric variables were documented in Table 1.