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All damage sustained by living tissue occurs in
continuum. This means once cellular degradation
manifests itself onto the cellular environment it can
precede uninhibited. The virulence to the matrix of the
supporting tissue grows as more cells are exposed to an
environment to toxic for survival.
In the orthopedic setting, as in the general medical
setting, to identify the condition early is paramount.
Unfortunately, that is not always the case. In our
center, The Center for Regenerative Medicine (CRM)
often times we have encountered patients with severe (osteochondral)
hip damage.
All joints exhibit an ability to express a unique
Biomechanical marker. Expressed when the joint loading
surfaces have regressed substantially in their ability
to load the surfaces under physiological stresses.
Previously we have described the Biomechanical marker for
the shoulder – neutral rotation rise test. In this
article we will describe the marker for the hip
identifying severe osteochondral damage. In our center (CRM)
we have identified and treated successfully 10 patients
afflicted with this condition. The term given to the hip
Biomechanical Marker.
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Prone Knee Flexion Test |
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Under normal hip conditions if you were to lie on your
stomach and bend your knees your feet would not cross
each other. |
With severe hip damage the femoral head in
the hip joint would lose its perfectly round dimension.
When this happens the anatomical arrangement of the hip
relative to the pelvic girdle and low back change.
This
new abnormal functioning state produces the
Biomechanical Marker. When the knees of a patient afflicted with
severe damage are bent the feet will cross. The crossing
of the feet suggests to the examiner the high
probability of severe osteochondral damage in the hip of
the foot initiating the crossing. It may be only one
foot or often times both involved.
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Posted
by Roman Garcia RPT, staff Physical therapist at the
Center for Regenerative Medicine.
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