Pediatric Apophysitis and Muscle Insertional Pain

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41 Questions

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

Excessive medial-lateral shear forces at the pubic symphysis

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

Soccer players

What is a common sign of meralgia paresthetica?

Pain and tingling in the upper anterolateral thigh

What are common predisposing factors for meralgia paresthetica?

Obesity and pregnancy

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

Irritating activities

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

Begin adductor stretching and core stabilization training

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

Resisted hip flexion (iliopsoas inflammation)

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

Lunges

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

Due to potential iliopsoas irritation

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

It reduces hip forces on anterior joint

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

Posterior-lateral hip position

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

It reduces spasm in the iliopsoas muscle

What is the Ludloff Sign used to detect?

RF insufficiency

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

Bursitis

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

ITB tenderness

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

Limited hip mobility

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

Greater Trochanteric Pain Syndrome

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

8%

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

'Clam Shells' training

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

'Pain extending down lateral thigh'

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

ITB stretching

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

Soft tissue massage and suction decompressive unloading

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

Less than 20 degrees

When can isometric exercises begin after hip surgery?

2nd post-op day

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

86-93%

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

FAI (Femoroacetabular Impingement)

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

Assumption that protocol is completely customizable

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

Ensure all key treatment ingredients are present and considered

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

"Lateral hip pain is often misdiagnosed as bursitis."

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

"Contractile injuries need gradual, appropriate loading for recovery."

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

"Post-operative management should be tailored based on surgery and tissue type."

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

Addressing FAI prepares the patient for better surgical outcomes.

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

Gradual onset of growth plate inflammation due to repetitive contractions by certain muscles

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

Boys between ages 4-8

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

Rest and crutches

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

Aching pain in thigh/hip/knee following trauma

What distinguishes Femoral Stress Fractures from other conditions mentioned?

  • Pain at extreme hip motions

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

MRI

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

ORIF

Which patient group is more prone to traumatic hip dislocation?

Obese males aged 15-20

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

Military personnel in basic training

Learn about Global Laxity, Hypomobility, DJD/OA, and the mechanism of injury for Pediatric Apophysitis. Understand how gradual onset of growth plate inflammation is caused by repetitive contractions. Explore signs and symptoms such as pain over growth plates at muscular insertions.

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