Pediatric Apophysitis and Muscle Insertional Pain
41 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the most common mechanism of injury for osteitis pubis?

  • Excessive extension forces at the sacroiliac joint
  • Excessive supination forces at the hip joint
  • Excessive flexion forces at the pubic symphysis
  • Excessive medial-lateral shear forces at the pubic symphysis (correct)

Which group of athletes is most commonly affected by osteitis pubis?

  • Soccer players (correct)
  • Basketball players
  • Swimmers
  • Gymnasts

What is a common sign of meralgia paresthetica?

  • Weakness in the quadriceps
  • Pain and tingling in the upper anterolateral thigh (correct)
  • Numbness in the toes
  • Pain over the lower back

What are common predisposing factors for meralgia paresthetica?

<p>Obesity and pregnancy (C)</p> Signup and view all the answers

Which activity should be avoided as part of the treatment for meralgia paresthetica?

<p>Irritating activities (D)</p> Signup and view all the answers

What should be initiated once acute symptoms of osteitis pubis subside?

<p>Begin adductor stretching and core stabilization training (B)</p> Signup and view all the answers

What is the recommended caution or avoidance for managing hip pain grade 1/11?

<p>Resisted hip flexion (iliopsoas inflammation) (B)</p> Signup and view all the answers

Which activity modification is NOT recommended for managing hip pain grade 1/11?

<p>Lunges (B)</p> Signup and view all the answers

Why is active hip flexion considered less ideal compared to passive hip flexion for hip pain grade 1/11?

<p>Due to potential iliopsoas irritation (C)</p> Signup and view all the answers

What makes long axis distraction or true lateral distraction helpful for managing hip pain?

<p>It reduces hip forces on anterior joint (C)</p> Signup and view all the answers

In which position should post glides be performed for optimal results in managing hip pain?

<p>Posterior-lateral hip position (C)</p> Signup and view all the answers

Why is HI considered good for FAI stretching, according to the text?

<p>It reduces spasm in the iliopsoas muscle (A)</p> Signup and view all the answers

What is the Ludloff Sign used to detect?

<p>RF insufficiency (D)</p> Signup and view all the answers

What is indicated but NOT responsible for the symptoms in Greater Trochanteric Pain Syndrome?

<p>Bursitis (E)</p> Signup and view all the answers

Which of the following is NOT considered an intrinsic factor for Greater Trochanteric Pain Syndrome?

<p>ITB tenderness (B)</p> Signup and view all the answers

What is a common risk factor for developing Greater Trochanteric Pain Syndrome according to the text?

<p>Limited hip mobility (D)</p> Signup and view all the answers

What does GTPS stand for in the context of the article?

<p>Greater Trochanteric Pain Syndrome (C)</p> Signup and view all the answers

What percentage of patients identified with GTPS actually had bursitis based on MRI findings?

<p>8% (B)</p> Signup and view all the answers

What is one of the management strategies suggested for Greater Trochanteric Pain Syndrome?

<p>'Clam Shells' training (D)</p> Signup and view all the answers

What is a characteristic symptom used in the clinical criteria for diagnosing Trochanteric Bursitis?

<p>'Pain extending down lateral thigh' (B)</p> Signup and view all the answers

Which of the following is NOT part of the treatment for snapping hip?

<p>ITB stretching (B)</p> Signup and view all the answers

What is a recommended way to unload tissue with reduced weight bearing in managing hip injuries?

<p>Soft tissue massage and suction decompressive unloading (D)</p> Signup and view all the answers

What is the recommended limit for external rotation (ER) during the first 2-4 weeks after Labral Repair surgery?

<p>Less than 20 degrees (B)</p> Signup and view all the answers

When can isometric exercises begin after hip surgery?

<p>2nd post-op day (B)</p> Signup and view all the answers

What percentage of athletes successfully return to sport following Hip Arthroscopy surgery?

<p>86-93% (B)</p> Signup and view all the answers

What should be addressed first for 6-12 weeks before considering surgical interventions?

<p>FAI (Femoroacetabular Impingement) (D)</p> Signup and view all the answers

Which of the following is NOT a hurtful aspect of using a Physical Therapy Rehab Protocol according to the text?

<p>Assumption that protocol is completely customizable (D)</p> Signup and view all the answers

What is the main goal of a rehab protocol according to the content provided?

<p>Ensure all key treatment ingredients are present and considered (A)</p> Signup and view all the answers

'Lateral hip pain is rarely bursitis' - Why is this statement significant in the context of hip pathology?

<p>&quot;Lateral hip pain is often misdiagnosed as bursitis.&quot; (B)</p> Signup and view all the answers

'Contractile injuries require progressive, optimal load strategies to recover' - What does this statement imply about the treatment approach for such injuries?

<p>&quot;Contractile injuries need gradual, appropriate loading for recovery.&quot; (C)</p> Signup and view all the answers

'Post-operative management is dependent on nature of surgery & type of tissue involved' - Why is understanding this dependency crucial for physical therapists?

<p>&quot;Post-operative management should be tailored based on surgery and tissue type.&quot; (A)</p> Signup and view all the answers

'FAI should be addressed first for 6-12 weeks before considering surgical interventions' - Why is addressing FAI crucial in the rehabilitation process?

<p>Addressing FAI prepares the patient for better surgical outcomes. (A)</p> Signup and view all the answers

What is the mechanism of injury for Global Laxity (Instability) in pediatric patients?

<p>Gradual onset of growth plate inflammation due to repetitive contractions by certain muscles (A)</p> Signup and view all the answers

Which age group is more commonly affected by Legg Calves Perthes disease?

<p>Boys between ages 4-8 (C)</p> Signup and view all the answers

What is the initial management approach for Slipped Capital Femoral Epiphysis (SCFE)?

<p>Rest and crutches (D)</p> Signup and view all the answers

Which symptom is more indicative of Slipped Capital Femoral Epiphysis (SCFE) as opposed to Legg Calves Perthes disease?

<p>Aching pain in thigh/hip/knee following trauma (C)</p> Signup and view all the answers

What distinguishes Femoral Stress Fractures from other conditions mentioned?

<ul> <li>Pain at extreme hip motions (B)</li> </ul> Signup and view all the answers

Which imaging modality is considered the gold standard for diagnosing femoral stress fractures?

<p>MRI (D)</p> Signup and view all the answers

What is the primary surgical intervention for femoral stress fractures with significant tension or compression?

<p>ORIF (D)</p> Signup and view all the answers

Which patient group is more prone to traumatic hip dislocation?

<p>Obese males aged 15-20 (A)</p> Signup and view all the answers

'Fatigue' injuries leading to femoral stress fractures are most common in which group?

<p>Military personnel in basic training (A)</p> Signup and view all the answers

More Like This

Pediatric Vital Signs Overview
12 questions
Pediatric and Asthma Management Cases
10 questions
Use Quizgecko on...
Browser
Browser