Hip conditions

Question 1

Intra-articular hip problems

Answer 1

Femoral acetabular impingement
Microinstability
Dysplasia
Osteoarthritis
Stress fracture

Question 2

Extra-articular hip problems

Answer 2

Greater trochanteric pain syndrome (GTPS)
Proximal hamstring
Iliopsoas injuries
Adductor injuries
Athletic pubalgia/core injuries (combined pathology)
Piriformis syndrome

Question 3

Femoral Neck Stress Fractures Conservative management of confirmed FNSFs requires immediate what

Answer 3

weight bearing restriction in order to prevent further fracture progression or compromised bony stability

Question 4

for Femoral Neck Stress Fractures Conservative how long to WB restrictions normally last

Answer 4

6 to 8 weeks

Up to 14 weeks in slower-healing cases

Question 5

Caution with what kind of activities with FNSF

Answer 5

supine and side-lying because they may place tensile forces on the femoral neck

Question 6

when can activity be progressed from NWB in FNSF’s

Answer 6

progressed when there is radiographic evidence of fracture union and related improvement in functional activity tolerance

Question 7

Uncomplicated compression side FNSFs fractures can typically return to running and athletic activity around

Answer 7

12 weeks

Question 8

Complicated, and slow-healing cases have reported return-to-sport time frames up to

Answer 8

28 weeks

Question 9

what muscle should be emphasized in FNSF pt

Answer 9

Gluteus medius

due to the effect of this muscle on frontal plane hip and pelvic stabilization

Question 10

what is a key component in return to sport and late stage rehab for FNSF

Answer 10

determining the tissues tolerance​ to increased loading

increased endurance
motor control in a more demanding eviroment

Question 11

GTPS Rehabilitation currently

Answer 11

strengthening and motor control to minimize compressive forces and excessive friction at the trochanteric region

Question 12

strengthening in GTPS

Answer 12

Graded and progressive strengthening

Question 13

Motor control in GTPS

Answer 13

Minimize valgus collapse
Minimize Trendelenburg tendencies

Question 14

GTPS Patient should avoid

Answer 14

Sitting with legs crossed
Leaning towards one side in standing
Crossing legs while standing

Question 15

GTPS -Supine positioning with legs in slight adduction is recommended

Answer 15

in those with severe symptoms as there is no or very low compression of gluteal tendons.

Question 16

GTPS - Side lying with the affected leg on top has been shown to

Answer 16

to create high levels of compression in the trochanteric region.

This position should be modified to include a pillow between knees to reduce adduction of thigh, decreasing amount of compression.

Question 17

what is the main concern with proximal​ hamstring injury

Answer 17

Re-injury is primary concern

Question 18

Early treatment with proximal hamstring injury

Answer 18

Protect scar development while avoiding adhesion development: rest/modification , PROM

Manual therapy: commonly utilized as acuity decreases, weak evidence

Minimize atrophy: submaximal isometrics, AROM

Question 19

Proximal Hamstring Injury Criteria for progression from early treatment

Answer 19

Full PROM and AROM of hip and knee

Symmetrical gait pattern

Tolerance to therapeutic activities