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  • Soldul 2021 Rompharm

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    Ghica Costin
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    The document discusses pain management in hip conditions. It notes that combining intra-articular injections of corticosteroids (CS) and hyaluronic acid (HA) led to reductions in pain over 52 weeks compared to HA injections alone. Another study found that HA combined with platelet-rich plasma showed the best efficacy in improving stiffness, function, and total scores, while platelet-rich plasma alone appeared best for pain reduction. The document also discusses sacroiliac joint arthritis, noting it can cause up to 30% of back pain cases. Several tests are mentioned for diagnosis including Patrick's test, Fortin's finger test, and Gaenslen's test, with a diagnosis being very probable if 3 or more tests

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    The document discusses pain management in hip conditions. It notes that combining intra-articular injections of corticosteroids (CS) and hyaluronic acid (HA) led to reductions in pain over 52 weeks compared to HA injections alone. Another study found that HA combined with platelet-rich plasma showed the best efficacy in improving stiffness, function, and total scores, while platelet-rich plasma alone appeared best for pain reduction. The document also discusses sacroiliac joint arthritis, noting it can cause up to 30% of back pain cases. Several tests are mentioned for diagnosis including Patrick's test, Fortin's finger test, and Gaenslen's test, with a diagnosis being very probable if 3 or more tests

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    © All Rights Reserved
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    31 views20 pages

    Soldul 2021 Rompharm

    Uploaded by

    Ghica Costin
    The document discusses pain management in hip conditions. It notes that combining intra-articular injections of corticosteroids (CS) and hyaluronic acid (HA) led to reductions in pain over 52 weeks compared to HA injections alone. Another study found that HA combined with platelet-rich plasma showed the best efficacy in improving stiffness, function, and total scores, while platelet-rich plasma alone appeared best for pain reduction. The document also discusses sacroiliac joint arthritis, noting it can cause up to 30% of back pain cases. Several tests are mentioned for diagnosis including Patrick's test, Fortin's finger test, and Gaenslen's test, with a diagnosis being very probable if 3 or more tests

    Copyright:

    © All Rights Reserved
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    of 20

    Terapia durerii in

    afectiunile coxo-femurale
    Soldul
    Coxartroza vs patologie spinala
    Str. Dr. Felix 83, Sector 1, Bucuresti.
    www.dralinpandea.ro
    0770454073

    Nume:
    Istoric pacient:

    Mers:
    Mobilitate:

     Flexie –(normal ROM 120°):


     Internal/external rotation: 40-45°:
     Abductie (normal ROM 45°):
     Adductie (normal ROM is 30°):
     Extensie(passive10-20°):
    Thomas’s test – fixed flexion diformity (OA):
    Trendelenburg’s sign – scaderea fortei muscularte a abductorilor :
    Faber:
    Fair (piriformi):
    Gaenslen:
    Ober’s

    Rx:

    Diagnostic:

    Recomandari:

    Data:
    Infiltratii la nivelul soldului.
    Ce infiltram?
    Combined intra-articular injections of CS and HA led to reductions in pain at 2-4, 24-26 and 52 weeks compared to HA injections alone.
    Level of evidence: Level II-meta-analysis.

    https://pubmed.ncbi.nlm.nih.gov/30046992/

    Hyaluronic acid combined with platelet-rich plasma showed the best efficacy in improving stiffness, physical function, and total scores, while platelet-rich plasma appeared the best in terms of pain
    reduction.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370491/
    Artroza SacroIliaca:

    Poate fi cauza durerilor de spate in proportie de pana


    la 30 % din cazuri.
    Nu exista test specific, dar daca mai mult e 3 teste
    sunt pozitive, diagnosticul este foarte probabil.

    Patrick's test (FABER)


    Fortin's finger test
    Gaenslen's test
    SI compression test
    straight leg raise
    SI distraction test

    https://www.orthobullets.com/spine/422812/
    sacroiliac-joint-dysfunction
    Va multumesc,

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