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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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Posterior hip instability relocation testing: a resident's case report.

Rich Maas^1,2, Scott Wallentine¹, Dale Gerke³

¹Missouri State University Program in Physical Therapy, Springfield, MO, USA.

The Journal of Manual & Manipulative Therapy

|September 16, 2017

Summary

This summary is machine-generated.

Posterior hip instability (PHI) is often misdiagnosed. A new relocation test and stabilization exercises helped a patient with PHI improve pain and function.

Keywords:

Hip micro-instability posterior hip instability posterior hip relocation test

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Published on: February 27, 2018

Area of Science:

Orthopedics
Sports Medicine
Physical Therapy

Background:

Micro-instability of the hip, particularly posterior hip instability (PHI), is increasingly recognized.
PHI is often underdiagnosed and mistaken for other hip conditions.
A novel clinical test and conservative rehabilitation approach are presented.

Purpose of the Study:

To describe a case of posterior hip instability (PHI).
To introduce a novel clinical test for identifying PHI.
To outline a conservative rehabilitation strategy for PHI.

Main Methods:

A 29-year-old female with chronic hip pain was evaluated.
A posterior relocation test was performed, showing improvement with repositioning.
A rehabilitation program focused on stabilization and neuromuscular re-education was implemented.

Main Results:

The patient underwent 12 physical therapy sessions over 2.5 months.
Significant improvements in pain and function were reported at discharge.
Functional outcome scores (LEFS and Oswestry) showed marked improvement.

Conclusions:

Posterior hip instability (PHI) may cause hip pain and dysfunction.
The posterior relocation test can aid in diagnosing PHI.
Stabilization and neuromuscular control are key to managing PHI.