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Hip Contracture

Contractures Hip


Presentation

  • Five pediatric patients who presented with hip contractures are described. There were 3 boys and 2 girls ranging in age from 7 to 14. None had morning stiffness and one complained of no pain at all.[ncbi.nlm.nih.gov]
  • The group of patients presented in this study varies in the etiology of the clinical condition and could have an effect in the results, but it is a not common deformity to surgically treat.[healio.com]
  • Grade two pressure sores were present. The knee joint was flail with a full passive range of motion. The patient underwent bilateral proximal femoral resection [Figure 1] B (a).[ijoonline.com]
  • The aim of this study is to present, for the first time in Iraq and the region, a case series of gluteal fibrosis and the results of surgical treatment.[link.springer.com]
  • Locomotion is difficult and pain is sometimes present when the hip is in motion. It may be caused by trauma, infection, or poliomyelitis.[icd10data.com]
Pneumonia
  • الصفحة 71 - BL, et al: Adult respiratory distress syndrome, pneumonia, and mortality following thoracic injury and a femoral fracture treated either with intramedullary nailing with reaming or with a plate. ‏[books.google.com]
Respiratory Distress
  • الصفحة 71 - BL, et al: Adult respiratory distress syndrome, pneumonia, and mortality following thoracic injury and a femoral fracture treated either with intramedullary nailing with reaming or with a plate. ‏[books.google.com]
Hip Pain
  • pain (Medical Encyclopedia) Legg-Calve-Perthes disease (Medical Encyclopedia) Slipped capital femoral epiphysis (Medical Encyclopedia) Trochanteric bursitis (Medical Encyclopedia) [ Read More ] Joint Disorders A joint is where two or more bones come[icdlist.com]
  • Antalgic gait due to hip pain results in reduced stance phase on that side. The trunk is propelled quickly forwards with the opposite shoulder lifted in an attempt to even the weight distribution over the limb and reduce weight bearing.[physio-pedia.com]
  • pain supine patient is asked to elevate the lower limb with the knee extended until pain prevents further movement.[orthofracs.com]
  • pain in which the diagnosis is not entirely clear.[postgraduateorthopaedics.com]
Spine Pain
  • pain with sartorius avulsions / injuries Ischial tuberosity pain with hamstring avulsions / tendinopathy Iliac crest pain with oblique avulsions / hip pointers Iliotibial band / TFL Neurovascular Motor hip adduction - obturator nerve thigh abduction[orthobullets.com]
Osteoporosis
  • Osteoporosis of the hip causes weak bones that break easily. Both of these are common in older people. Another problem is hip dysplasia, where the ball at the end of the femur is loose in the hip socket. It can cause hip dislocation.[icdlist.com]
  • However, on the other hand, in case of hip replacement, high dislocation rates, risk of infection (especially in presence of pressure sores), osteoporosis, loosening risk, and blood loss must be taken into account.[ijoonline.com]
Low Back Pain
  • Lastly, for individuals with low back pain that is sensitive to spinal extension, tight hip flexors may lead these individuals to perform spinal movements that bias increased spinal extension, as the individual lacks movement options due to their hip[peerj.com]
Morning Stiffness
  • None had morning stiffness and one complained of no pain at all. Each had undergone several diagnostic procedures and had seen an average of 2.5 doctors before receiving the diagnosis of arthritis.[ncbi.nlm.nih.gov]
Irritability
  • Other specific joint derangements of left hand, not elsewhere classified M24.849 Other specific joint derangements of unspecified hand, not elsewhere classified M24.85 Other specific joint derangements of hip, not elsewhere classified Inclusion term(s): Irritable[icd10coded.com]
  • […] postural) deformities Fixed flexion deformity hip-lordosis at the lumbar spine Fixed abduction deformity-lowering of the pelvis on that side and scoliosis with convexity towards the affected side Log rolling tests A very quick and simple test to judge the irritability[postgraduateorthopaedics.com]
Neglect
  • The likely cause for this difference is that a sagittal musculoskeletal model was used in this study, with the muscle forces in the frontal plane being neglected.[omicsonline.org]
Unable to Walk
  • Christopher was unable to walk independently, had a history of lower limb issues, and had undergone several surgeries prior to and after the occurrence of his knee pain.[slideshare.net]

Workup

HLA-B27
  • HLA-B27 positive arthritis should be considered in the differential diagnosis of otherwise unexplained hip contractures in children.[ncbi.nlm.nih.gov]

Treatment

  • Treatment of chronic peripheral ischemic wounds in patients with spinal cord injury (SCI) can be technically challenging, especially if they have significant hip contracture.[ncbi.nlm.nih.gov]
  • Treatment for hip disorders may include rest, medicines, physical therapy, or surgery, including hip replacement.[icdlist.com]
  • The aim of this study is to present, for the first time in Iraq and the region, a case series of gluteal fibrosis and the results of surgical treatment.[link.springer.com]
  • […] protocols.in print and online. 6 videos demonstrate management of chondral lesions, arthroscopic débridement of pincer impingement and labral repair, arthroscopic femoroplasty: correction of cam lesion, endoscopic release of endotibial band, arthroscopic treatment[books.google.com]

Prognosis

  • Prognosis The natural history of FKFD is one of insidious progression despite bracing, therapy, and even repeated surgical intervention.[emedicine.medscape.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • The group of patients presented in this study varies in the etiology of the clinical condition and could have an effect in the results, but it is a not common deformity to surgically treat.[healio.com]
  • Musculoskeletal etiologies 1) Pain: “Antalgic gait” Causes: Pain with weight bearing Pathomechanism: Weight bearing avoided on painful limb. Decreased step length of uninvolved side.[now.aapmr.org]
  • Etiology A number of relatively common conditions, especially cerebral palsy and spina bifida, may lead to progressive FKFD, despite appropriate physical therapy and bracing.[emedicine.medscape.com]

Epidemiology

  • Sulsky SI, Carlton L, Bochmann F, Ellegast R, Glitsch U, et al. (2012) Epidemiological evidence for work load as a risk factor for osteoarthritis of the hip: a systematic review. PLoS One 7: e31521.[omicsonline.org]
  • Epidemiology Knee flexion contractures due to hamstring contractures or quadriceps weakness are prevalent in growing children with neuromuscular conditions, such as cerebral palsy, spina bifida, and arthrogryposis.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Ipsilatera, regional deformity is characterized by the following: Hip flexion contracture/deformity Ankle equinus (true vs apparent) [2] or calcaneus (calf weakness) Planovalgus foot (lever arm dysfunction) Pathophysiology Normal sagittal alignment includes[emedicine.medscape.com]

Prevention

  • Prevent and treat a hip flexion contracture with specific stretches that increase hip strength, flexibility and function.[woman.thenest.com]
  • Conditions Knee Contracture Features Non-ambulatory splint Can reverse tissue shortening Easily adjustable single setting hinge Includes a gel knee pad for 3 point leverage Conditions Ankle Contracture Features Suspends the heel, eliminates pressure and prevents[centuryorthotics.com]
  • Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. ‎ 39 ページ - Haffter, P., Granato, M., Brand, M., Mullins, MC, Hammerschmidt, M., Kane, DA, Odenthal, J., van Eeden, FJ, Jiang, YJ, Heisenberg, CP, Kelsh[books.google.com]
  • Prevention: Prevention of contractures depends on the cause.[knowyourdisease.com]

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