Myokinematic Restoration: Course Notes

Hip Bursitis

Seen usually in women with weakness of the right gluteus maximus, left hamstring, right adductor magnus and left ischiochondylar adductor; resulting in the inability to adduct on the left lower extremity and shift adequately their center of gravity over the left lower extremity. The smaller external rotators on the right are overworked, as is the posterior fiber of the gluteus medius, secondary to ipsilateral weakness of the inferior lengthened and malpositioned gluteus maximus. These patients usually have difficulty rotating their trunk to the right while standing or shifted on left lower extremity. They usually walk with poor arm swing and improper swing of upper extremities with lower extremities. High compressive, torsional sheering forces on the small external rotators and the posterior gluteus medius muscle produces inflammation of this superior posterior trochanteric attachment soft tissue. This same soft tissue is further aggravated during eccentric abduction and external rotation during right stance phase of gait.

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