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MSK I,II,III > Hip Disorders > Flashcards

Hip Disorders Flashcards

1
Q

Hip Muscle Strains

A

Pain to palpation
Pain to eccentric and concentric movements of the muscle

Ease factors: rest

Adductor strain= pain in groin area
Hamstring strain= pain in posterior thigh, can be ischial pain, or buttock pain
Glut Med strain= pain near greater trochanter

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2
Q

Is Snapping Hip Syndrome Painful at rest?

When is it painful?

A

No- usually felt with functional activity

Hip flexion, and adduction

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3
Q

Snapping hip sydrome ( ITB subluxation or ilipsoas syndrome)

A

Not painful at rest. Painful with hip flexion and adduction

Ease factors: stretching, avoiding provocative movements

Can be caused by the ITB or Glut Max snapping over the greater trochanter
or
Can be caused by iliopsoas snapping over the iliopectineal eminence

More common in F>M
Increased with Varus angle at hip

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4
Q

Will snapping hip syndrome occur with more of a Varus or Valgus of the hip?

A

Varus

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5
Q

Will a bursitis be painful to palpation

A

Yes

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6
Q

Where is a greater trochanter bursitis painful

A

Over lateral hip and may radiate into a C shape of anterior/posterior regions

More common in Women than men
RA increases chances

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7
Q

Where is a iliopectineal bursitis painful

A

Anterior hip pain. increasing with hip flexion and extension

Pain can refer into anterior thigh and patellar region

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8
Q

With any hip bursitis what will increase the symptoms?

What eases bursitis pain?

A

Walking, lying with pressure over the area and hip adduction

NASAIDS help the pain

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9
Q

What findings are common with hip bursitis?

A

Tightness in IT band

Weak Gluts

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10
Q

Femoral Anterior impingement and Labral Tear

A

Pain in the anterior superior hip, groin and lateral hip is common

Ease: rest and NWB

History of clicking, popping, buckling, and locking

Overuse, sports with twisting, repetitive running

Hip dysplasia -> anterior impingement

Compression through joint will increase symptoms

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11
Q

What actions make Anterior impingement and labral tears aggravated

A

Running and twisting

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12
Q

Will being NWB make anterior impingement and labral tears feel better?

A

Yes

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13
Q

What disorder (s) will have symptoms of clicking, popping, buckling and locking

A

FAI and Labral tear

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14
Q

DJD and OA what will the pain be described as

A

Deep ache and stiffness- increasing with WB

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15
Q

DJD and OA where is the pain located?

A

Groin, Greater trochanter, anterior thigh, medial knee pain

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16
Q

Can DJD and OA have pain down to the medial knee?

A

Yes

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17
Q

What disorder (s) will have stiffness in the morning, getting out of bed, walking, stairs, sit to stand

A

DJD and OA

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18
Q

Will there be complains with walking and stairs with DJD and OA

A

Yes

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19
Q

What helps relieve OA and DJD symptoms

A

rest, NSAIDs, AROM- Pain decreases with movement

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20
Q

Causes OA and DJD

A 
Idiopathic
Injury
abnormal body mechanics 
FAI
Overweight
Leg length discrepancy
Family history of OA

Pain decreases with movement

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21
Q

Piriformis Syndrome what will the symptoms be?

A

pain or spasm in posterior buttock
shooting or burning pain in buttock down the back of the leg

Eases: with soft tissue massage

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22
Q

What movements will provoke piriformis syndrome?

A

walking, crossing legs, prolonged sitting

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23
Q

What causes piriformis syndrome?

A

overuse

tight ER of hip

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24
Q

Avascular Necrosis has pain where?

A

proximal thigh, buttocks

can radiate to medial knee

25
Q

Describe the avascular necrosis pain

A

ache, stiffness

26
Q

What movements aggravate avascular necrosis

A

walking, standing, crossing legs

Ease: NSAIDs, and rest

27
Q

What causes avascular necrosis?

A

trauma
steroids
alcohol

can be congenital

Idiopathic: 30-60 males

28
Q

Slipped Capital Femoral Epiphysis is most common in who?

A

Males 10-17
Females 8-15

M> F

Obesity

Rest eases

29
Q

What movements increased Slipped Capital femoral symptoms

A

Walking- they will have an antalgic gait

30
Q

Where will the pain be with slipped capital femoral

A

pain in hip, lower thigh, anterior thigh, groin
vague pain in suprapatelllar region

all with no mechanism of injury

31
Q

Legg- Calve Perthe’s is most common in who?

A

2-13
M>F

With no history of trauma

32
Q

Legg- Calve Perthe’s symptoms are made worse with what movements

A

Walking- antalgic gait

Rest: ease

33
Q

Where is the pain with Legg- Calve Perthe’s

A

Anterior thigh pain and can refer to knee and groin

34
Q

Where is the limited ROM with Snapping Hip syndrome?

A

IR, ER and Add of hip

35
Q

Where is the limited ROM with Greater trochanteric bursitis?

A

Adduction, flexion, Abduction, ER of Hip

36
Q

Where is the limited ROM with Iliopectineal Bursitis?

A

Hip flexion and Extension

37
Q

Where is the limited ROM with FAI and Labral Tear

A

Flexion, adduction and IR

38
Q

Where is the limited ROM with OA and DJD

A

Capsular pattern

Flexion=Abduction= IR

39
Q

Where is the limited ROM of Piriformis syndrome

A

ER, and IR

40
Q

Where is the limited ROM of Avascular Necrosis

A

All directions passive and active

41
Q

Where is the limited ROM of Slipped Capital Femoral Epiphysis

A

Pain in all extreme motions
Limitd IR, ABduction, Flexion

ER of hip with Hip Flexion

42
Q

Where is the limited ROIm of legg calve perthes

A

Limited Abduction and Extension IR

43
Q

What special tests to rule in a Muscle Strain

A

None

Palpation to site of strain and muscle guarding

44
Q

What Special test to rule in snapping hip syndrome

A

Can try Greater Trochanter Bursitis test to see if you can get a snapping

Will have tenderness to palpation over ITB, Lateral Glut Max, and greater trochanter bursa

45
Q

What special test for Bursitis?

A

Greater trochanter bursitis test
OBER

Will be painful to palpation over greater trochanter or deep flexor region

46
Q

What special Tests for FAI or Labral Tear

A

FADDIR
SCOUR
FABER

Can’t palpate labrum directly
pain with compression of IR and ER through the Joint

47
Q

What special tests for DJD and OA

A

Scour- hard or abnormal end feels
FABER

Pain with compression through joint

48
Q

What special tests for piriformis syndrome

A

FADDIR

Compression over piriformis muscle will reproduce symptoms

49
Q

What special tests for avascular necrosis

A

None

50
Q

What special tests for Slipped Capital Femoral

A

None

Can see Quad atrophy, Short limb, Adductor spasm

51
Q

What special tests for legg calve- perthes

A

none

Can see short limb, atrophy of thigh muscles, higher greater trochanter

52
Q

Femoral Anterior Glide is common in what population

A

Younger, Dancers, Runners

53
Q

Femoral anterior glide with medial rotation is common in what population

A

younger, dancers, runners

54
Q

Femoral Anterior glide is associated with what diagnosis

A

FAI, Iliopsoas tendinopathy, Iliopsoas bursitis

55
Q

Femoral Hypermoblity is associated with what diagnosis

A

Labral tear, DJD

56
Q

Femoral Hypomobility is associated with what diagnosis

A

OA, DJD, adductor strain

57
Q

Hip extension with knee extension- what is the movement impairment

A

dominance of the hamstrings over the glut max. typically occurs in athletes

58
Q

Hip extension and knee extension is associated with what diagnosis

A

Sciatica, hamstring strain, piriformis syndrome, ischiogluteal bursitis

59
Q

Hip adduction syndrome associated with what diagnosis

A

Trochanteric bursits, snapping hip syndrome, sciatica, ITB faciitis

MSK I,II,III (9 decks)

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