Presentation
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]
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]
A stooped posture and flexed knees are a common presentation. Bradykinesia causes small steps which are shuffling in presentation. [physio-pedia.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]
If a contracture is present the leg will raise off of the table. This is often measured if present. [pthaven.com]
Entire Body System
- Pain
The pain in his knee had been severe and primarily constant but the source of the pain had never been found. [slideshare.net]
It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged. [icdlist.com]
The symptoms associated with hip arthritis can be varied, the most common of which is groin pain. Groin pain is that pain that occurs deep in the joint that most people described as where the hip meets the body. [lifebridgehealth.org]
or fracture Snapping Iliotibial band ITB can snap over GT and cause pain Anterior Superior Iliac Spine pain with sartorius avulsions / injuries Ischial tuberosity pain with hamstring avulsions / tendinopathy Iliac crest pain with oblique avulsions / [orthobullets.com]
Pain in the muscle is due to tightness, sciatic type pain is indicative of piriformis syndrome [orthofracs.com]
- Collapse
Stage IV: At this point, the bone begins to collapse. The articular cartilage is destroyed, the joint space narrows, and bone spurs may form. Severe osteoarthritis results and joint replacement surgery may be necessary. [lifebridgehealth.org]
Musculoskeletal
- Knee Pain
The pain in his knee had been severe and primarily constant but the source of the pain had never been found. [slideshare.net]
[…] relievers Osteonecrosis of the knee Knee pain has many causes. [lifebridgehealth.org]
[…] spinal from hip pain supine patient is asked to elevate the lower limb with the knee extended until pain prevents further movement. [orthofracs.com]
[…] with anterior knee pain, patellar pathology in adolescence. [now.aapmr.org]
(Images 26 and 27) This patient has symptomatic and painful crouch gait due to fixed knee flexion deformity. [emedicine.medscape.com]
- Back Pain
Puede ver también Physical activity and low back pain in children and adolescents: a systematic review Kędra, A., Plandowska, M., Kędra, P. et al. Physical activity and low back pain in children and … [sogacot.org]
[…] can suggest possible labral tear or FAI FABER test (aka Patrick's test) hip F lexed to 90 deg, AB ducted and E xternally R otated positive test if patient has hip or back pain or ROM is limited can suggest intra-articular hip lesions, iliopsoas pain, [orthobullets.com]
A mobile, pain-free spine is required if hip arthrodesis is proposed Conversely, back pain may be an indication for taking down an otherwise symptomless hip fusion & conversion to a total hip replacement Ling has described a helpful sign to differentiate [orthofracs.com]
Sometimes the pain can be located on the outside of the hip and even in the back of the hip. Patients will state that they have a tight feeling within their hip joint. They may describe night pain or activities of daily living. [lifebridgehealth.org]
Participants were excluded if they had current symptoms of back or lower extremity musculoskeletal or neuromuscular injury or pain; however, participants were not excluded if they previously had a back or lower extremity musculoskeletal or neuromuscular [peerj.com]
- Hip Pain
Encyclopedia) Hip fracture surgeries (Medical Encyclopedia) Hip joint injection (Medical Encyclopedia) Hip pain (Medical Encyclopedia) Legg-Calve-Perthes disease (Medical Encyclopedia) Slipped capital femoral epiphysis (Medical Encyclopedia) Trochanteric [icdlist.com]
Excessive Hip Flexion can significantly alter gait pattern most commonly due to; • Hip flexion contractures • IT band contractures, • Hip flexor spasticity, • Compensation for excessive knee flexion and ankle DF, • Hip pain • Compensation for excess ankle [physio-pedia.com]
[…] spinal from hip pain supine patient is asked to elevate the lower limb with the knee extended until pain prevents further movement. [orthofracs.com]
In painful disorders of the hip patients will try to avoid weight bearing on the affected side. Pain in the hip on weight bearing is diminished by reducing the time spent on the affected leg(Shortened stance phase). [postgraduateorthopaedics.com]
- Hip Dislocation
[…] by Knapp Jr R and Cortes H, the authors evaluate the problems associated with hip dislocation in adults with cerebral palsy; - 29 subjects with dislocated hips and no prior hip surgery were identified; - there were a total of 38 dislocated hips; - age [wheelessonline.com]
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]
New Engl J Med 209:61 CrossRef Google Scholar Ludloff K (1913) The open reduction of the congenital hip dislocation by an anterior incision. [link.springer.com]
- Low Back Pain
Puede ver también Physical activity and low back pain in children and adolescents: a systematic review Kędra, A., Plandowska, M., Kędra, P. et al. Physical activity and low back pain in children and … [sogacot.org]
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]
Neurologic
- Aura
Author Disclosure Heakyung Kim, MD Allergan: Honorarium, Consulting; Allergan: PI, Research Grants, Other roles Hannah Aura Shoval, MD Nothing to Disclose Teerada Ploypetch, MD Nothing to Disclose [now.aapmr.org]
Treatment
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]
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]
[…] 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]
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
Prevention: Prevention of contractures depends on the cause. [knowyourdisease.com]
Prevent and treat a hip flexion contracture with specific stretches that increase hip strength, flexibility and function. [woman.thenest.com]
Preventing contracture deformity Regular exercise and an active lifestyle can help prevent muscle and joint stiffness. Ask your doctor or physical therapist about the best exercise program for you. [healthline.com]
Contractures prevent MSers regaining mobility. [multiple-sclerosis-research.blogspot.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]