Final Flashcards
hip ROM for gait
30 flex
10 ext
5 ab & ad duction
5 IR & ER
orientation of acetabulum
anterior
inferior
lateral
orientation of femur
anterior
superior
medial
PAILS vs RAILS
PAIL - contract muscle want to lengthen
- in lengthening positioned
RAIL - contract mm that brings further into desire motion
- in shortened position
when does hip IR occur?
extending from flexed position
hip flexion b/w 60-100
purpose of hip
drive forces into ground
hip OA CPG
insidious onset (w/ WB)
moderate anterior or lateral hip pain w/ WB
morning stiff <1 hr
hip IR <24
IR & hip flex 15 or less than painful side
increased hip pain with passive hip IR
Sutlive hip OA CPG
self-report squatting worst activity
active hip flex –> lateral hip pain
active hip extension –> hip pain
scour with adduction –> lateral hip or groin p!
passive IR </= 25
S/S of Legg-Calve Perthes
4-8 yo
LE tends to be shorter
deformity of FEMORAL HEAD
S/S of SCFE
10-15 yo
overweight
displaced FEMORAL NECK
usually needs surgery
Altman’s criteria for knee OA
> 50
knee crepitus
palpable bony enlargement
palpable bony tenderness
morning stiffness <30 mins
no palpable warmth
strong evidence CPG recs for knee OA
exercise!
NSAIDs and acetaminophen
self management
patient ed
moderate evidence CPG recs for knee OA
unloading (cane, brace)
neuro re-ed
weight loss
intra-articular corticosteroid injection
hallmark features of patellar tendinopathy
- pain localized to inferior patellar pole
- load-related pain that increases with the demand on knee, esp. in activities that load and store energy in patellar tendon
- rarely pain at rest
order of tendon rehab
stage 1) isometrics
stage 2) isotonic loading (eccentric)
stage 3) energy storage (plyometrics)
stage 4) return to sport
