SPEAKER_06 15:27–15:45
Hey, Bill. So my question is, I have a 15 year old with an ORIF fracture of the distal right femur. You say femur? Yes, sir. Yep. So a world of five weeks in, this is our third visit with me. She has a real gnarly limp going on. So this last time that I saw her, she's having less pain. She's having a lot less pain than the first time, but the limp is still there. So the very first time she came in, the way that it looks is she's kind of leaning her trunk to the right. Her left hip is hiking up and kind of circumducting around. And so I put her on the table to take some measurements. And what I found was actually both Ober's test was positive, but it had actually less hip adduction on the right side. So the right side was actually felt stiffer being measured. Then, at 90 degrees, the right hip had a little more IR, about 15 degrees of IR. The left had less IR, about 10 or so. Then on the right side, it had about 45 degrees of ER, which was less than the 60 on the left. The left had more ER. And straight leg raise was on the right side about 60 degrees and on the left about 65. And so we worked on bringing her back first. We did some 90, 90 things. And then on the next session, we did some chopping.
hip mechanicsgait analysiship range of motionrehabilitation exercise