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10 Cards in this Set
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This is inflammation of the trochanteric bursa. Onset insidious, but often severe. Pain may radiate to lateral knee. It is most severe in the AM or with prolonged sitting. Direct palpation increases pain.
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Trochanteric bursitis
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What is seen on exam with a person who has trochanteric bursitis?
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May have tight iliotibial band (Ober Sign)
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Apart from the Ober sign in trochanteric bursitis, what is witnessed with the physical exam?
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Pt in side-lying position, directly palpating the bursa, the patient will have full range of motion. No true hip joint pain.
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What is the treatment for trochanteric bursitis?
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Physical Therapy for aggressive stretching.
Ionto/Phonophoresis NSAIDS, Ice Injection - Steroids |
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DEGENERATION OF THE HIP JOINT
PAIN WILL GRADUALLY INCREASE GAIT MAY BE EFFECTED NIGHT PAIN MAY OCCUR PATIENT WILL INDICATE TRUE HIP JOINT PAIN DECREASED ROM |
Osteoarthritis
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What is the treatment for osteoarthritis?
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GENTLE ROM EXERCISES
NSAIDS GAIT ASSIST HYDROTHERAPY SURGICAL REPLACEMENT |
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HISTOPRY OF SUDDEN ONSET WITH ABRUPT INJURY
COMMON IN HOCKEY, FOOTBALL DUE TO LACK OF FLEXIBILITY/STRENGTH COMMON AFTER VAGINAL DELIVERY |
Sprains of the Hip
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What is involved with the exam of a sprained hip?
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ANTALGIC GAIT
DECREASED PAINFUL ROM MAY HAVE DECREASED WEIGHT BEARING MUSCLE WEAKNESS AGAINST RESISTANCE |
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What type of testing should be done with a sprained hip, especially to rule out what?
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XRAY R/O AVULSION FX
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How do you treat a hip sprain?
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NSAIDS, ICE
RELATIVE REST WITH GAIT ASSIST THERAPY FOR STRETCHING, THERABAND, STRENGTHENING |
