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Total Hip Replacement in Singapore

Total Hip Replacement

Total Hip Replacement

What is Total Hip Replacement?

Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi replacement. Such joint replacement orthopaedic surgery generally is conducted to relieve arthritis pain or fix […]

Are you suffering from Hip Bursitis?

Hip Bursitis

Hip Bursitis

Pain along the side of the hip is still a common spot for bursitis (also known as greater trochanter pain syndrome. A large tendon passes over the bony bump on the side of the hip called the greater trochanter.

Inflammation in the bursa (a protective gel sac) between the tendon and […]

A Patient’s Guide to Hip Arthroscopy

Hip Arthroscopy

Hip Arthroscopy

A hip arthroscopy is a procedure where a small video camera attached to a fiberoptic lens is inserted into the hip joint to allow a surgeon to see without making a large incision. Arthroscopy is now used to evaluate and treat orthopedic problems in many different joints of the body. While […]

TROCHANTERIC BURSITIS

WHAT IS TROCHANTERIC BURSITIS?

Trochanteric bursitis is inflammation of the bursa, a fluid-filled sac near the lateral point of the hip joint known as the greater trochanter. When this bursa becomes irritated or inflamed, it causes pain in the hip. This is a common cause of hip pain.

WHAT ARE THE CAUSES?

One of the […]

SPECIFIC TESTS-Bilateral passive medial rotation in prone position

Significance

This test is very useful in detecting minor limitations.Since both hips are examined together, even the slightest limitation of medial rotation or a divergence in the end-feel can be detected.

Positioning.

The subject lies in the prone position with the knees together and flexed to 90°. The examiner stands at the foot-end of […]

Resisted extension of the knee

Positioning.

The subject lies prone with the knee flexed to 70°. The examiner stands level with the thigh and leans over the subject. The ipsilateral hand is placed on the distal end of the thigh to stabilize it on the couch. The elbow of the other arm is positioned ventrally around the distal end […]

Resisted flexion of the knee

Positioning.

The subject lies prone with the knee in 30° of flexion. The examiner stands level with the thigh and leans over the subject. One hand is on the ilium, the other presses against the distal end of the lower leg.

Procedure.

Ask the subject to flex the knee, and resist the movement .

[…]

Resisted lateral rotation

Positioning.

The subject lies prone with the hips slightly abducted and the knees flexed to 900, The examiner sits at the foot-end of the couch, just distal to the knees. With crossed arms, he places both hands against the internal malleoli.

Procedure.

Ask the subject to push the feel towards each other, and resist the […]

Resisted abduction

Positioning.

The subject lies supine and relaxed with both hips slightly abducted. The examiner stands at the foot-end of the couch and places both hands on the lateral aspect of the lower legs, just proximal to the ankles.

Procedure.

Resist the abduction movement.

Common mistakes. None.

Anatomical structures tested:

Muscle function:

• Imporlanl abdllclors: […]

ISOMETRIC CONTRACTIONS

Resisted flexion

Positioning.

The subject lies in the supine position with the hip flexed to a right angle. The examiner stands level with the thigh and places one knee against the ischial tuberosity. Both hands are clasped at the anterior and distal end of the thigh.

Procedure.

Resist the subject’s attempt to flex the […]