Masterclass 5 Flashcards
What are the impacts of FAI
Limit ROM at the hip
What is a Cam lesion
A bony growth on the head of the femur which creates FAI
What is a pincer FAI
Bony growth on the acetabulum, limiting the amount of movement of the femur
What is the alpha angle which indicates a cam lesion is present
> 55 degrees
What condition is associated with large cam lesions (alpha angle > 83)
Hip OA
How much space is needed in the femeroactabular joint for hip OA to be indicated
<2mm
What is the lateral centre edge angle
A way to identify pincer FAI morphology
In a lateral centre edge angle, what angle is considered dysplastic?
<20 degrees
What is a dysplastic lateral centre edge angle?
More femur showing
In a lateral centre edge angle, what angle is considered to be borderline dysplastic
Between 20-25 degrees
In a lateral centre edge angle, what angle is considered to be normal
Between 26 and 40 degrees
In a lateral centre edge angle, what angle is considered to be overcovered (pincer morphology)
> 40 degrees
FAI management options
Education, Exercise, Relative Rest, Activity modification, Change in movement patterns to avoid pain
Can physios change someones morphology (e.g FAI)
No. It is to do with the bone structure
What are two key movements FAI pt should improve upon
Hip flexion range
Adduction and Abduction strength
Features of OA
Joint space narrowing (<2mm in the hip)
Osteophyte formation
Subchondral bone sclerosis (thickening/hardening of bone under the cartilage)
Aggrevating factors of hip OA
Night pain
Deep hip flexion (sitting on a low chair)
WB rotation
What population are most impacted by gluteal tendinopathy
Post menopausal women
Aggrevating factors of gluteal tendinopathy
Night pain in side lying
Stair climbing
Walking uphill
Prolonged sitting
Is education a management treatment?
FUCK YES IT IS. DONT FORGET ABOUT IT YOU DUMBASS
Why does the affected leg crossing the midline of the body cause pain in gluteal tendinopathy
A compression load is applied at the glute med due to the greater trochanter slightly abducting (one note 5.2 cmd + F compressive loads)
What movements place a compressive load on the gluteus medius
hip adduction and hip flexion > 90 deg
List some exercises for gluteal tendinopathy
Hip bridges (DL, tandem, SL)
Squat (DL, Split, SL)
More advanced - Step up, Altitude landing
What movement causes pain in FAI cam lesion
Flexion and IR
