Use of a Hip Spica for Management of an Acetabular Labral Tear in a Female Collegiate Gymnast: A Case Report

2020 ◽  
Vol 25 (5) ◽  
pp. 242-246
Author(s):  
Austin Greenwood ◽  
Naoko A. Giblin ◽  
Cordial Gillette

The patient was a 20-year-old female gymnast complaining of lateral hip pain, posterior to the greater trochanter, that increased with hip extension and external rotation. Over the course of 1 month during the season, pain progressively shifted to the groin and hip extension and external rotation became limited. A minimally painful exercise program was implemented in conjunction with a supportive hip spica, assisting extension and external rotation while limiting flexion and internal rotation during therapeutic exercise. The resulting implementation of a hip spica is a novel way to reduce pain and improve function to augment current conservative treatments.

1999 ◽  
Vol 4 (1) ◽  
pp. 6-7
Author(s):  
James J. Mangraviti

Abstract The accurate measurement of hip motion is critical when one rates impairments of this joint, makes an initial diagnosis, assesses progression over time, and evaluates treatment outcome. The hip permits all motions typical of a ball-and-socket joint. The hip sacrifices some motion but gains stability and strength. Figures 52 to 54 in AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, illustrate techniques for measuring hip flexion, loss of extension, abduction, adduction, and external and internal rotation. Figure 53 in the AMA Guides, Fourth Edition, illustrates neutral, abducted, and adducted positions of the hip and proper alignment of the goniometer arms, and Figure 52 illustrates use of a goniometer to measure flexion of the right hip. In terms of impairment rating, hip extension (at least any beyond neutral) is irrelevant, and the AMA Guides contains no figures describing its measurement. Figure 54, Measuring Internal and External Hip Rotation, demonstrates proper positioning and measurement techniques for rotary movements of this joint. The difference between measured and actual hip rotation probably is minimal and is irrelevant for impairment rating. The normal internal rotation varies from 30° to 40°, and the external rotation ranges from 40° to 60°.


PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S166-S166
Author(s):  
Joseph P. Purcell ◽  
Annie Davidson ◽  
Francis P. Lagattuta ◽  
David L. Tashima

PM&R ◽  
2011 ◽  
Vol 3 ◽  
pp. S250-S250
Author(s):  
Timothy D. Bundy ◽  
George Varghese

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S202-S203
Author(s):  
Jessalynn Adam ◽  
Kate Temme

2018 ◽  
Vol 89 (5) ◽  
pp. 591-593
Author(s):  
Shiho Kanezaki ◽  
Akinori Sakai ◽  
Eiichiro Nakamura ◽  
Soshi Uchida

PM&R ◽  
2015 ◽  
Vol 7 ◽  
pp. S191-S192
Author(s):  
Jennifer E. Miller ◽  
Vaishali Mittal ◽  
Minna Kohler

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