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]
This constitutes a positive Thomas test. [1] Sometimes, with a very flexible patient, the Thomas test will be normal despite a psoas dysfunction being present. [en.wikipedia.org]
If a contracture is present the leg will raise off of the table. This is often measured if present. [pthaven.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]
Musculoskeletal
- 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]
- Spine Pain
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]
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]
- 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]
Treatment
Treatment for hip disorders may include rest, medicines, physical therapy, or surgery, including hip replacement. [icdlist.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]
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]
The indication for surgical treatment is individualized as in almost all neuromuscular conditions. [healio.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
Prevent and treat a hip flexion contracture with specific stretches that increase hip strength, flexibility and function. [woman.thenest.com]
Prevention: Prevention of contractures depends on the cause. [knowyourdisease.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]
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]
Compensatory mechanism moves GRF anterior to knee joints to prevent knee buckling from extensor weakness. 12 Treatment : submaximal aerobic and low-resistant strength training, prevent fixed contractures by stretching and night-time braces. [now.aapmr.org]