Soldul 2021 Rompharm

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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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