TAILIEUCHUNG - Care of Musculoskeletal Problems in the Outpatient Setting - part 7

C. uốn cong cổ bên (Hình 9,10): Đặt lòng bàn tay của bạn vào ngôi đền và báo chí của bạn vào tay trong khi gây một số kháng. Giữ 5 s và lặp lại năm lần trong một thiết lập. D. quay cổ (Hình 9,11) bên: Với cổ ở một vị trí trung lập xoay người đứng đầu mỗi bên đối với cuộc kháng chiến của một nắm tay giành so với hàm dưới. | 212 . Shahady Further testing is not indicated if the symptoms are classical and the patient responds to conservative measures listed below. If the patient does not respond to conservative measures nerve conduction studies of the lateral femoral cutaneous nerve can be performed to access for nerve compression. Magnetic resonance imaging of the hip and pelvis are useful to rule out intra-articular derangement or intrapelvic causes of compression on the nerve. The mainstay of treatment for entrapped lateral femoral cutaneous nerve is nonoperative. Weight reduction decreased use of constrictive clothing nonsteroidal anti-inflammatory drugs NSAIDs and local steroid injections succeed 90 of the time. If symptoms are persistent and disabling surgical intervention is warranted. Local nerve block is a useful diagnostic tool and predictor of benefit from surgical decompression. If injection completely relieves the patients complaints surgery will usually help. 6. Trochanteric Bursitis The trochanteric bursa lies over the greater trochanter of femur. Overuse is the usual cause of the bursitis. It is commonly associated with OA of the hip. Other factors that contribute to the etiology of trochanteric bursitis include irritation of the bursa by the overlying iliotibial band ITB and biomechanical factors like a broad pelvis in females leg length discrepancy and excessive pronation of the foot see Chapter 15 that change the mechanics of the ITB. The patient usually presents with an aching pain over the lateral hip that is made worse by prolonged standing lying on the side or stair climbing. The pain may radiate to the groin or the lateral thigh. On examination palpation along the posterior greater trochanter reveals tenderness Figure . The pain is accentuated with external rotation and abduction and by resisted abduction. Patrick s flexion abduction and external rotation FABER test is positive Figure and the hip abductors are often weak. Test the hip abductor as .

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