physiotherapy

Greater trochanteric pain syndrome

Definition

Chronic lateral trochanteric pain

- abductor tendon tendonitis

- trochanteric bursitis

Epidemiology

Women 40 - 60 years old

Mechanism

? repetitive friction of iliotibial tract over GT

Symptoms

Pain over upper lateral thigh with activity

- often related to hip flexion

Definition

CP is a permanent disorder of movement and posture 

- non-progressive 

- brain injury before the age of two years

Strict definition excludes familial & progressive congenital problems & those acquired in childhood as a result of head injuries

Incidence

2-3 per 1000 live births

Higher in 

Definition

Full thickness tear (FTT)

- variable amount retraction from insertion

Partial thickness tear (PTT)

- incomplete

- bursal or articular sided

Definition

Birth injury of brachial plexus

Epidemiology

R > L 

1 / 1000 live births

1 in 10 of these develop significant impairment

Recent increase due to bigger babies / DM

Aetiology

Usually secondary to traction

1.  Big baby / maternal DM / > 4000 gm

2.  Breech

3.  Prolonged / difficult labour

Definition

Twisted / Wry neck secondary to fibromatosis in sternocleidomastoid

Epidemiology

Packaging defect

- commonest first born 

- 75% on right

Associations

CDH 20%

Metatarsus adductus 15%

Breech presentation

Klippel - Feil Syndrome

Arthrogryposis

Aetiology

Fibrosis of SCM on one side