고관절 해부, 구조, 검사, 신체진찰

목차

1. Anatomy
2. Physical Examination
3. Clinical Feature

본문내용

Ischial bursitis
• Cause
excessive friction over ischial tuberosity, or direct blow (hematoma, scarring)
• S/Sx
pain with sitting, Td over ischial tuberosity, pain w/ passive hip flexion and active/resistive hip extension
오래앉아 있거나 오르막길 뛸때(hamstring 긴장시 통증유발)
• X-ray to r/o fractures in traumatic hx
• Tx
Ice, padding, brief NSAID
Prolonged: steroid injection
Refractory: surgical excision

Ischial Bursitis
-lies over the ischial tuberosity& Gluteus maximus 사이에 위치
hard surface에 오래 앉은 후의 friction & trauma에 의해 통증 유발

참고 자료

Birrer R. and O’Connor F. Sports Medicine for the Primary Care Physician. Boca Raton: CRC Press, 2004.
Greene W. Essentials of Musculoskeletal Care. Rosemont: American Academy of Orthopaedic Surgeons, 2001.
Hoppenfeld S. Physical Examination of the Spine and Extremities. East Norwalk: Appleton-Century-Crofts, 1976;59-74.
Lillegard W. Evaluation of Knee Injuries. In W Lillegard (ed), Handbook of Sports Medicine. Boston: Butterworth-Heinemann, 1999: 233-249.
Netter F. Atlas of Human Anatomy. West Caldwell: CIBA-Geigy, 1989.
Tandeter H. et al. Acute Knee Injuries: Use of Decision Rules for Selective Radiograph Ordering. American Family Physician. Dec 1999; 60: 2599-608. (For Radiograph Images)