Hip Conditions

Question 1

When you have Avascular necrosis what hip ROM is decreased?

Answer 1

Flexion, IR, abd

Question 2

What are the 3 clinical findings with Avascular necrosis?

Answer 2

1. Pain in groin and/or thigh
2. Tenderness to palpation at hip joint
3. Coxalgic gait

Question 3

What is the age onset for leg-calve-perthes disease? And is it more in males or females?

Answer 3

2-13 years old

4x more likely in males

Question 4

What diagnostic tests are used or leg-calve-perthes disease?

Answer 4

MRI, bony crest findings

Question 5

What are the 4 clinical findings for leg-calve-perthes disease?

Answer 5

1. Psoatic limp due to weakness of psoas
2. Effected LE moves into ER, flex, add
3. Gradual onset of “aching” pain at hip, thigh and kness
4. Limited abd and ext

Question 6

What is the most common hip disorder in adolescents with unknown etiology?

Answer 6

Slipped capital femoral epiphysis

Question 7

What is the age onset for slipped capital femoral epiphysis?

Answer 7

Males: 10-17
Females: 8-15

Males 2x more likely

Question 8

What are the clinical findings for slipped capital femoral epiphysis?

Answer 8

1. Vague pain at hip, knee, thigh

2. Chronic~trendelenburg gait

Question 9

What is the degree for excessive femoral anteversion?

Answer 9

25 degrees or greater

Question 10

What is the angle less than 0 degrees called and why?

Answer 10

Femoral retroversion because the femoral neck is rotated backward inn relation to the femoral condyles

Question 11

What are the 3 clinical findings for femoral anteversion?

Answer 11

1. Squinting patellae
2. Toeing in
3. Positive Craig’s test

Question 12

What is the angle for coxa vara?

Question 13

What is the angle for coxa valga?

Answer 13

> 125 degrees

Question 14

What can coxa vara often result from?

Answer 14

Defect in ossification of head of femur

Question 15

What can both coxa vara/valga result from?

Answer 15

Necrosis of femoral head occurring with septic arthritis

Question 16

What is trochanteric bursitis often comorbid with?

Answer 16

ITB syndrome

Question 17

What can cause the inflammation of the deep trochanteric bursa?

Answer 17

Trauma, irritation by ITB, bio mechanical stress

Question 18

What is the etiology of ITB syndrome?

Answer 18

Tight ITB and/or gait abnormality

Question 19

Where is the pain with ITB syndrome?

Answer 19

Trochanteric bursa and/or lateral epicondyle

Question 20

What are the clinical findings for ITB syndrome?

Answer 20

1. Positive noble compression test

2. Positive ober’s test

Question 21

What may cause overworked piriformis?

Answer 21

Excessive pronation of the foot, which causes abnormal internal femoral rotation

Question 22

What may happen with a tightness or spasm of the piriformis muscle?

Answer 22

Compression of the sciatic nerve and/or SI dysfunction

Question 23

What are the two muscles that may be associated with ITB syndrome?

Answer 23

Glute max and TFL

Question 24

What are the 5 clinical findings with pririformis syndrome?

Answer 24

1. Restriction of IR
2. Tenderness to palpation of piriformis
3. Referral of pain to posterior thigh
4. Weakness in ER
5. Positive FAIR test

Question 25

What is the diagnostic test for piriformis syndrome?

Answer 25

EMG/NCV

Question 26

What results in an impaired blood supply to the femoral head?

Answer 26

Avascular necrosis