Hip Flashcards

1
Q
  • Deep buttock and lateral thigh pain
  • MOI: overuse
  • (-) sitting, walking up stairs
  • ROM (-) AROM - hip flexion & RROM - Knee flexion
  • +/- radicular symptoms into LE
  • Management
A

Hamstring strain

Test: SLR, Bent knee stretch test

Education (grade, avoidance, proper warm-up) >

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2
Q
  • 30’s peak age, F, athletes
  • MOI: hip flexion (eps in External rotation)
  • Intermittent groin pain (-) with activity, (+) rest
  • Audible “clicking” or “catching”
  • Radiating pain ant thigh to above the knee
  • Prom - pain with hip ext, Arom pain with hip flex/LR
A

Iliopsoas strain
AKA: “Dancers Hip” or “Jumpers Hip”

Test:
Thomas test
Management:
Activity modification > rest > myofascial > stretch (antagonists) > strengthen (flexors)

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3
Q
  • MOI: kicking, sprinting, change of direction
  • Anterior hip pain
  • A/Rrom - pain with hip flex + knee ext, Prom - hip ext
  • Management?
A

Quadriceps strain

Test:
- Muscle testing
* hip flex = quads * hip flex + ER = iliopsoas

  • PRICE > positioning (knee flex) > stretch > isometric > isotonic
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4
Q
  • MOI: sudden change in direction (soccer)
  • Groin pain
  • pain with A/Rrom adduction + flexion
  • ## pain with direct palpation of groin muscle
A

Adductor Strain

  • Adductor Squeeze Test
  • Passive Abduction

PRICE > PRROM > Isometric > isotonic

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5
Q
  • Weak hip abductors
  • Lateral knee pain
  • LONG DISTANCE + DOWNHILL running aggravates
  • Management?
A

ITB syndrome

Test: Nobel’s + Ober

  • Rest > Modalities > glut med/min strengthening
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6
Q
  • 15-40, F
  • Extension -> flexion (Iliopsoas)
  • IR -> ER (TFL, Glut max)
  • +/- pain
  • Weak abs and hamstrings
  • Imaging?
  • Management?
A

Snapping hip Syndrome

Dx Ultrasound

  • Stretching + strengthening
  • if painful, rule out labral tear
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7
Q
  • F, unilateral hip pain
  • Post/lateral thigh pain can radiate above the knee
  • POINT TENDERNESS
  • Pain sleeping on side
  • RROM pain - abduction
A

Trochanteric bursitis
“GTPS”

Gluteal - Rrom Ext
Iliopsoas - Rrom Flex

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8
Q
  • Sharp, localized groin pain
  • Worse after a heavy meal or extended standing
  • Lifting, coughing, bending aggravate
  • Management?
A

Inguinal hernia

GP > surgery > post op core strengthening

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9
Q
  • 30-40, M
  • Pain lateral hip and radiates down to knee
  • Overweight, Diabetic
  • (-) walking, standing
  • Management?
A

Meralgia Parasthetica

  • Education (weight loss > loose clothing)
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10
Q
  • Groin pain made worse with activity
  • (-) hip adduction
  • Childbirth, rugby/soccer, urological surgery
A

Osteitis Pubis

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11
Q
  • F, < 1
  • Asymmetric skin folds (uni flat buttock)
  • Tight hip adductors
  • Decreased AROM - Abduction
  • Sleepless nights, avoiding walking/crawling
  • Imaging?
A

Hip Dysplasia

Tets:
Ortalani - “in”, Abd + distraction
Barlow - “out”, Add + compression

Xray - putts triad
(shallow acetabulum, small femoral head, dislocation sup/lat)

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12
Q
  • 20-30, F
  • Pain, stiffness in the groin
  • Swollen, red
  • +/- pain with thigh extension
  • Hint?
  • Management?
A

Myositis Ossificans
Hint - post traumatic

  • Imaging - xray (post 3 weeks)
  • Management - rest > US, PFROM
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13
Q
  • 40-50, M (6:1)
  • Obese
  • BILATERAL gradual onset of dull, achy groin pain
  • May refer down into the knees
  • +/- A & Prom restricted and painful. RROM wnl
  • Imaging?
  • Management?
A

Avascular Necrosis (AN)

Imaging
- MRI (GS)
- Xray (WNL early stages)

Ortho, manual = contraindicated until complete recovery and pain free

  • LCP in children 3-12 (hip and knee pain)
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14
Q
  • 3-12, M (4:1)
  • Insidious onset hip, knee, or groin pain
  • (-) leg movement
  • Antalgic gate
  • +/- pain felt in KNEES or UNAFFECTED HIP
  • Flexion and adduction contractures
  • Limited ABD + IR
A

Legg-Calve-Perthes

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