The Athletic Pelvis - American Academy of Osteopathy

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Case I: history Initially the pain started after about 10 miles <strong>of</strong> riding, but now now begins begins within within the the first first mile mile and and she she can can only only go go 5 5‐7 7 before having to stop. It It i is sometimes ti present t with ith prolonged l d sitting, itti sometimes ti hurts with cough or sneeze. She does not have any back pain; she does not have any radicular pain. Does not wake her at night. She She is is very very angry angry because because she she is is afraid afraid she she will will start start gaining weight again.
Case I: examination Lumbar spine, SIJ and neurological exam are normal Abdomen: normal except obese and question <strong>of</strong> femoral hernia. Hip exam: Passive ROM intact, , but passive p flexion (140 (140°) 4 ) is painful. p Resisted Flexion/extension, abduction/adduction, internal/external rotation all 5/5 and without pain. Palpation: tender along superior pubic ramus ramus, , none over psoas psoas, , trochanteric or gluteal bursae
Page 1 and 2: The Athletic Pelvis Richard G. Schu
Page 3: Case I A 33 year old female presen
Page 7 and 8: Local Local musculosketal causes C
Page 9 and 10: Differential: F Femoral F l neck k
Page 11 and 12: Differential: Pubic P PPubic bi ram
Page 13 and 14: Differential: Acetabular labral tea
Page 15 and 16: Diff Differential: ti l Osteitis pu
Page 17 and 18: Differnetial: Differnetial : Sports
Page 19 and 20: Sports Sports hernia Most common i
Page 21 and 22: Differential: Groin hernia We all
Page 23 and 24: Indirect inguinal hernia Failure of
Page 25 and 26: Concluding Concluding thoughts thou

The Athletic Pelvis - American Academy of Osteopathy

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