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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 […]

Barlow’s test

Significance

The test is used for early detection of congenital dislocation of the hip in babies. During the test the hip is first subluxated and then replaced.

Positioning.

The baby lies on its back, hips flexed to 900 and the knees completely flexed. The examiner grasps the leg in such a way that the […]

Forceful upwards thrust to the heel

Significance

This provocation test may be used to provoke groin pain when an incipient aseptic necrosis of the hip is feared.

Positioning. .

The subject lies supine with the hip slightly abducted and externally rotated, and the knee extended. The examiner stands at the footend of the couch. One hand carries the heel and lifts […]

Adduction in flexion

Significance

This provocation test may be used to compress a painful structure in the groin (psoas bursa or tendon of rectus femoris). However, it should be interpreted with utmost care because other elements such as veins and lymph nodes can also be compressed. This test also stretches several posterior structures (capsule of the hip joint, […]

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 .

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