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33 Cards in this Set
- Front
- Back
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what is trochanteric bursitis
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inflammation of the greater trochanteric bursa
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what is the etiology for trochanteric bursitis
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1) traumatic (falls)
2) repetitive trauma (excessive friction/compression related to weakness of hip abductors) 3) leg length diff 4) tightness of tensor fascia lata |
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how does weak hip abductors cause trochanteric bursitis
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weak hip abductors --> CL hip drop --> increased friction on IL hip
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what are the symptoms for trochanteric bursitis
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lateral hip pain with activities initially and eventually pain at rest
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what are the clinical findings for trochanteric bursitis
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1) pain to palpation (lat. hip)
2) pain with passive movement in add, flex and ext 3) pain with active movement in add, flex, ext, AND ADD (compression) |
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what is the treatment for trochanteric bursitis
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- decrease inflammation
- remove causative factors - look at running surface/mechanics |
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what is the diff b/t 1, 2, and 3 degree strains
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1st = <10% fibers torn
2nd = 10-99% torn 3rd = complete tear |
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what is etiology for a adductor strain
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overstridding or sudden change of direction
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what are the symptoms for adductor strain
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pain in adductor region with exercises and activities
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what are the clinical findings for an adductor strain
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- pain to palp
- local swelling - hematoma - pain with active and resisted hip adduction - pain with passive hip abduction |
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where would you see a hematoma in a hip adductor strain
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can be seen distal to the strain possibly near the knee joint (so must be sure to rule out hip pathology)
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where do adductor strains usually occur
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upper 1/2 of the muscle
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what is the treatment for a hip adductor strain
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principles of treatment for strains- based on degree (severity) of the injury...PRICE
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what is the progressive rehabilitation for hip adductor strain
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1) return to full ROM
2) return to full strength 3) return to full function |
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treatments to return full ROM in hip adductor strain rehab
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- cross friction massage when approp.
- early stages stretch within limits of comfort |
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where are hamstrings strains likely to occur
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mid-section of the muscles or sometimes very proximal near the insertion on the ischial tub.
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what is the etiology for a hamstring strain
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overstridding or sudden change in direction
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what are the symptoms of a hamstring strain
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pain in post. thigh region with ex and activities
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what are the clinical findings for a hamstring strain
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- pain to palp
- local swelling - hematoma (can appear to be knee) - pain with active and resisted flexion (possibly extension) - pain with passive knee extension (especially in hip flexion) |
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what is the treatment for a hasmtring strain
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PRICE
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what are some examples of functional training to return to full function post hamstring strain
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- hamstring curls and hip extension during WB (mini-squats)
- lunges, bridges |
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what is the etiology for a quadriceps strain
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- trauma
- sprint - overstretching |
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what are the clinical findings for a quad strain
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- pain to palp
- local swelling - hematoma - pain with active and resisted knee ext. - pain with passive knee flex (esp in hip ext) |
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why do you test passive knee flexion in supine (when a quad strain is suspected)
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because in sitting the rectus femoris will not have much pain due to it being on slack
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what is the treatment for a quad strain
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PRICE
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what is the progressive rehabilitation for a quad strain
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1) return to full ROm
2) return to full strength 3) return to full function |
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what precautions must be taken with a quad strain in order to prevent myositis ossificans
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1) protect from further trauma
2) avoid heat 3) avoid deep massage 4) protect from repetitive injuries 5) avoid cross friction massage |
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what is piriformis syndrom
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tightness of the piriformis causing compression on the sciatic nerve
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when can piriformis syndrome be present without piriformis tightness
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sitting on wallet placed in rear pocket
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what is the etiology for piriformis syndrome
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- posture (ER of LE in standing)
- lack of stretching - sitting on wallet |
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what are the symptoms for piriformis syndrome
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- pain in buttock and post. thigh region
- increase pain in sitting - impingement of sciatic nerve causing symptoms similar to nerve root irritation |
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what are the clinical findings for piriformis syndrome
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1) tenderness to palpation of piriformis (sciatic notch)
2) limited hip IR (no capsular end feel) |
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what is the treatment for piriformis syndrome
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1) stretch piriformis- modal, massage
2) avoid sitting with hip flexed >90 deg. 3) avoid sitting on wallet |
