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Physio Network

[Physio Explained] Clinical pearls for assessing hip dysplasia with Andrew Wallis

Aug 7, 2024
In this discussion, Andrew Wallis, an APA Sports and Manipulative Physiotherapist with extensive experience in elite sports, shares critical insights on assessing hip dysplasia. He explains the importance of distinguishing between extension and flexion movements and highlights the role of gait observation and special tests like apprehension testing. Andrew also addresses common misconceptions about hip dysplasia symptoms, emphasizing personalized rehabilitation strategies to enhance patient comfort and recovery. His expert tips are essential for anyone working in physiotherapy.
19:02

Episode guests

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Quick takeaways

  • Hip dysplasia is marked by instability in the hip joint, often leading to pain due to surrounding structures being affected.
  • A comprehensive assessment of hip dysplasia includes evaluating gait, muscle strength, and specific symptom-provoking movements for accurate diagnosis.

Deep dives

Understanding Hip Dysplasia

Hip dysplasia is characterized by a shallow acetabulum, which affects the stability of the hip joint. Normal hip function can be likened to a tennis ball resting snugly in a bowl, while a dysplastic hip resembles a ball on a saucer, leading to increased movement and instability. This instability can cause the ball to impact surrounding structures, resulting in pain from inflammation of the labrum, synovium, and nearby tendons. Understanding these dynamics is crucial for early identification and effective treatment of hip dysplasia.

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