Hip Conditions

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HIP CONDITIONS.

Name Def Cause C/F Diagnosis Intervention


AVN Bone tissue Pain Pain WB restriction-
dies trauma (fracture, Reduced increased crutches
because of dislocation) ROM with activity Pain- ESWT,US
lack of bld nontraumatic Locking,popp & hip IR Exercises-ROM
supply (alcohol, ing,painful X ray active n passive
smoking, obesity, click with MRI Strengthening
steroid abuse, mobilisation Coordination
medical condition Gait Balance
like SLE and sickle disturbances
cell anaemia (limp)
Young pt 20-
40 yrs
M>F
SCFE Anatomic Shearing forces. Adolescent Hip IR, flexn WB restriction-
disruption If bld vessels M>F n abdn crutches
of prox affected, can lead 10-20yrs limited. Spica casting
femoral to AVN Hip groin ER n addn ROM exs
physes thigh n knee increasd. Hydrotherapeuti
Epiphysis Contributing pain All movts c exs
displaces factors: Leg is in ER painful. Strengthening
post Obesity, femoral Antalgic gait Hip will fall Proprioception
N retroversion, Limp into ER Coordination
metaphysis increased physis when Ice, US, current
displaces height, more passively After surgery-
ant vertical slope of flexed upto 3 weeks-
superiorly. physis,previous above 90 20kg WB
radiation th, degrees. After 6 weeks
renal failure FWB
osteodystrophy,
endocrine
disorders.
Legg- Idiopathic Unknown cause Children 2-14 Reduced Cast for 4-6
Calve- juvenile Disruption of bld years active rom weeks
Perthes AVN of supply to capital M>F of extensn n Stretching
dz femoral femoral epiphysis Psoatic limp abdn. Strengthening
head in Pain- Limited IR in Balance
skeletally increases both flexn n Rom excs
immature with activity extensn. Gait training
pts. Frequent Unusually Brace
night pains high
physical
activity.
Antalgic
gait.
Trendelenb
erg gait.
Duchenne
gait.
Atrophy.

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