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Physiotherapy for the Hip Joint offers consolidated, current coverage of recent advances on various musculoskeletal hip conditions related to physiotherapy. Drs. Patitapaban Mohanty and Monalisa Pattnaik provide thorough, focused information on coxa valga, coxa vara, anteversion, retroversion, pelvic tilt, osteoarthritis, rheumatoid arthritis, and more. Physical medicine and rehabilitation specialists, physiotherapists, and orthopaedic surgeons will find this unique, concise title to be useful in everyday practice settings.
CHAPTER 1 Anatomy and biomechanics References CHAPTER 2 Evaluation History Physical examination Observation Inspection Movement evaluation Neuromuscular evaluation Palpation Special test Diagnostic imaging References CHAPTER 3 Deformities Coxa valga Inspection Special test Treatment Coxa vara Causes Special tests Anteversion Consequences of internal rotation of the hip Management Retroversion Hip flexion deformity Pelvic tilt Anterior pelvic tilt Posterior pelvic tilt Infrapelvic tilt Suprapelvic tilt References Further reading CHAPTER 4 Arthritis conditions Osteoarthritis/degenerative joint disease of hip joint Causes Pathology Clinical features Movement evaluation Management Rheumatoid arthritis (RA) Etiology Pathogenesis Triggering stage Maturation stage Targeting stage Fulminant stage Signs and symptoms Early signs Complications Diagnosis Types of rheumatoid arthritis Treatment Prognosis Physiotherapy Exercises Morbidity and mortality Informing patient of diagnosis Discussing prognosis and treatment Dealing with misconceptions Supporting patient with debilitating disease References CHAPTER 5 Traumatic conditions Fracture neck of femur Management Postoperative PT Complications Fracture trochanter Fracture pelvis Causes Clinical features Emergency stabilization Physical examination Treatment Physical therapy management Complications Dislocation Clinical feature Management Complications Management of anterior dislocation Central dislocation Clinical feature Management Complications Avascular necrosis of the femoral head Causes Pathophysiology Signs and symptoms Diagnosis Treatment Prognosis Hip labral tears Causes Clinical features Phase 1dinitial exercise (week 1e4) Treatment modalities Phase 2dintermediate exercise (week 5e7) Phase 3dadvanced exercise (week 8e12) Phase 4dsport specific training (12.......week onwards) References CHAPTER 6 Overuse conditions Trochanteric bursitis Clinical feature Management Iliotibial band friction syndrome (ITBFS) Clinical features Management Muscle strain Adductors strain Management Pulled hamstrings injury Management Rectus femoris strain Management Osteitis pubis References Further reading CHAPTER 7 Surgical conditions Hip arthroplasty Surgical options: bearing surfaces (polyethylene metal or ceramic)? Surgical options: hemiresurfacing hip arthroplasty Surgical options: pelvic osteotomy and hip fusion Effectiveness Urgency Risks Managing risk Preparation Timing Anesthetic Hospital stay Recovery and rehabilitation in the hospital Hospital discharge Physical therapy Can rehabilitation be done at home? Usual response Returning to ordinary daily activities Summary of total hip arthroplasty, hip resurfacing, and minimally invasive hip surgery for hip arthritis Arthroplasty. Excision arthroplasty Replacement arthroplasty There are 2 techniques There are 2 approaches Indications Postop complications Postoperative physiotherapy Synovectomy What is the recovery process of a synovectomy? Indications Postoperative care Hip arthroscopy Indications Procedure Postoperative physiotherapy following hip arthroscopy Phase 1: mobility and initial exercise Phase 2: intermediate exercise and stabilization Phase 3: advanced exercise and neuromotor control Phase 4: return to activity Hip arthrodesis Osteotomy Postop physiotherapy Phase 1: post-op day 1e7 Phase 2: post-op day 8e21 Phase 3: post-op day 22 to end of 6 weeks Heterotopic bone (HO) Chronology of development of heterotopic ossification Diagnosis Brooker classification of heterotopic ossification (following THA) Schmidt and hackenbrock classification of heterotopic ossification (following THA) McAfee’s classification of heterotopic ossification (following total disc arthroplasty) Management Physiotherapy Postoperative rehabilitation Phase I (week 1) Phase II (2e8 weeks) Phase III (9e24 weeks) References CHAPTER 8 Miscellaneous conditions Congenital dislocation of hip Causes Pathomechanics Clinical feature Management Close reduction Open reduction Complications Outcomes Slipped capital femoral epiphysis Cause Pathomechanics Clinical features X-ray Management Complications Perthes disease Causes Pathogenesis Clinical features Investigations Management Piriformis syndrome Peripheral nerve injury about hip Meralgia paresthetica Management Clinical reasoning Clinical reasoning for posterior hip pain Clinical reasoning for lateral hip pain Clinical reasoning for anterior hip pain References Index
Dr Patitapaban Mohanty, Associate Professor and Head, Department of Physiotherapy, Swami Vivekananda National Institute of Rehabilitation Training and Research, Olatpur, Bairoi, Cuttack and Monalisa Pattnaik, Assistant Professor Department, Swami Vivekananda National Ins, Rehabilitation Training and Research
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