MSK II Practical I || with 100% Error-free Answers
This is a condition in which extra bone grows along one or both of the bones that form the hip joint — giving the bones an irregular shape. Because they do not fit together perfectly, the bones rub against each other during movement. Over time this friction can damage the joint, causing pain and limiting activity. correct answers Femoral acetabular impingement (FAI) History: Sharp pain in anterior groin area with twisting, squatting, flexing the hip; dull ache with rest; pain with prolonged sitting or walking. Structural inspection: anterior pelvic tilt, excessive lordosis, flexed trunk, limping, Trendelenburg, possible leg length discrepancy or loss of foot arches Hypotheses of this impairment? correct answers Noncontractile: FA1 (best), Ant Hip Labral Tear Differential Diagnosis for FA1? correct answers Bone/ Ligament: AROM, PROM C/A, ST AROM: limitation and pain with FADDIR PROM C: limitation and pain with flex + IR, abnormal muscle guarding Special Tests: FADDIR, FABER (+ if reproduces symptoms or increased distance from unaffected side), Scouring Possible TSIs for FAI? correct answers Hip flexors/ IRs muscle strain Inf/ ant tight capsule Weak gluteus max/ med Tight psoas muscle + Scouring/ FADDIR/ Post. Impingement Interventions for FA1? Manual: Patient Edu/ Act Mod: Ther Ex: NM Reeducation: correct answers Manual Therapy - Ant/inf hip glides I-IV Patient Edu/ Activity Mod: N/A Ther Ex. - AROM/PROM into new range - Stretch the iliopsoas - Mini-squats → full-squats as tolerated - Clams for glute med - Step ups - Maybe something sports specific NM Reeducation: N/A
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this is a condition in which extra bone grows alon
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