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OCS Study Guide

Extra-articular Snapping Hip

Extra-articular Snapping Hip Snapping hip or coxa satans refers to palpable or auditory snapping during hip movement with or without associated pain.  Based upon literature it occurs in 5-10% of general population.  Higher incident rate in dance, soccer players, football players, and weight lifters. Based into 2 categories: Intra articular– labral tears, cartilage defects, loose...
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Piriformis Syndrome

Piriformis Syndrome Piriformis syndrome is considered a peripheral neuritis of the sciatic nerve caused by abnormal condition of the piriformis muscle.  Many times, it is confused with common somatic dysfunctions such discitis, lumbar radiculopathy, and sacroiliitis.  The piriformis acts as an external rotator weak abductor and weak flexor of the hip.  It is utilized for...
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Meralgia Paresthetica

Meralgia Paresthetica   Meralgia Paresthetica (MP) is a nerve entrapment which may cause pain, paresthesia, and a sensory loss within the distribution of the lateral cutaneous nerve of the thigh.  MP often produces similar pain/symptoms of common lumbar spine pathology. Commonly occur in individuals in their 30s and 40s.  more common in people with diabetes...
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Hip Arthroscopy Rehabilitation

Hip Arthroscopy Rehabilitation   Basic Principals -Consideration of soft tissue healing constraints -Control of swelling and pain to limit muscular inhibition and atrophy -Early ROM -Limitations on weight bearing -Early initiation of muscle activity and neuromuscular control -Cardiovascular training -Sports specific training     Phase I  Immediate Rehabilitation Goals -Protect integrity of repaired tissue -Restore...
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Hip Rehabilitation Consideration for Interventions performed Via Arthroscopy

Hip Rehabilitation Consideration for Interventions performed Via Arthroscopy (salzer 2006) Labral debridement -Early PROM -goal full ROM by 2 weeks -CPM 96-12 hours/day for 3-4 weeks  -Overcoming inhibition of posterior hip musculature  -Normal gait pattern before progressing to no AD  -Gentle isometrics day 2 -Gentle strengthening following full weight-bearing -Aquatic therapy or slow treadmill ambulation...
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Osgood Schlatter’s Disease

Osgood Schlatter’s Disease Osgood Schlatter’s disease is an osteochondritis or appophysitis injury at the tibial tubercle due to repetitive strain on the tibial tuberosity. The tibial tubercle is located on the anterior proximal tibia and is the attachment site of the patella tendon. During adolescence children go through a growth spurt. The bones and cartilage...
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Osteochondritis Dissecans

Osteochondritis Dissecans   Osteochondritis Dissecans (OCD) is a relatively rare dysfunction with 15-30 cases per 100,000 people.  It is the most common cause of a loose body in the knee joint space.  It is most commonly found in young adolescent adults ages between 10-20 years old.  Boys have been shown to be 3-4x more likely...
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Tibia Shaft Fracture

Tibia Shaft Fracture   The tibia Shaft Fracture is the most common long bone fracture -accounts for 4% of Medicare population -Occurs in the proximal third of tibia Two types of MOI Low energy -Typically results from a torsional injury -Often a spiral fracture High energy -Direct force -Wedge or short oblique fracture Classification system...
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PCL Injuries

PCL Injuries When intact the Posterior Cruciate Ligament (PCL) plays a large role in knee stability as it acts primarily to restrict posterior translation of the tibia at all angles greater than 30 degrees.  After 90 degrees it provides 95% resistance to posterior tibial translation.  As the knee moves from flexion to extension, the tensile...
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Patella Fractures

Patella Fractures   The Patella is the largest Sesamoid bone in the body.  The quadricep attaches to the superior portion of the patella, and at the inferior pole the patella tendon attached to the tibia at the tibial tuberosity.  Some would suggest that the patella is embedded into the quadricep tendon.  The patella transmits tensile...
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