Pediatric Apophysitis and Muscle Insertional Pain
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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</p> Signup and view all the answers

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

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

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

    <p>Lunges</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</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</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</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</p> Signup and view all the answers

    What is the Ludloff Sign used to detect?

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

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

    <p>Bursitis</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</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</p> Signup and view all the answers

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

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

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

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

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

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

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

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

    When can isometric exercises begin after hip surgery?

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

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

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

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

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

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

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

    What distinguishes Femoral Stress Fractures from other conditions mentioned?

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

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

    <p>MRI</p> Signup and view all the answers

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

    <p>ORIF</p> Signup and view all the answers

    Which patient group is more prone to traumatic hip dislocation?

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

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