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MSK 1 > Hip evaluation/treatment > Flashcards

Hip evaluation/treatment Flashcards

week 8 (43 cards)

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1
Q

What are the objectives of hip evaluation?

A

Perform a comprehensive evaluation of the hip and thigh
Identify conditions presenting in outpatient settings
Understand underlying causes of hip/thigh dysfunction

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2
Q

What does FAI stand for?

A

Femoroacetabular Impingement

None

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3
Q

What are the two main classifications of hip pathology?

A

Intra-Articular Hip Pathology
Extra-Articular Hip Pathology

None

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4
Q

What are common signs of intra-articular hip pathology?

A

Anterior or peritrochanteric hip pain
May radiate to the buttock or groin

None

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5
Q

What are characteristics of extra-articular hip pathology?

A

Involves tendons, bursae, muscles
Localized tenderness, often over greater trochanter

None

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6
Q

What are the key signs of Osteoarthritis (OA) in the hip?

A

Moderate anterior/lateral hip pain with WB
Morning stiffness < 1 hour
↓ Hip IR PROM (<25°) & ROM differences (>15°)
Age > 50

CPR for OA includes specific symptoms.

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7
Q

What does the acronym CPR stand for in the context of hip OA?

A

Clinical Prediction Rule

CPR helps in diagnosing conditions based on specific signs.

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8
Q

What are the positive signs for OA according to the CPR?

A
  • Pain ↑ with squatting
  • Lateral hip pain w/ hip flex AROM
  • Pain with Scour Test
  • Pain with hip extension AROM
  • Hip IR PROM < 25°

A combination of 3 out of 5 signs indicates a higher likelihood of OA.

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9
Q

What are common signs of labral tears?

A

Anterior groin pain or C-sign
Clicking, giving way, sharp pain
Pain ↑ with sitting, standing, squatting

Commonly co-exists with FAI.

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10
Q

What are the risk factors for Avascular Necrosis (AVN)?

A
  • Steroid use
  • Alcoholism
  • Sickle cell anemia

AVN can lead to severe hip complications if not managed early.

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11
Q

What are the signs of AVN?

A
  • Hip extension ROM < 15° (SP 92%)
  • Pain in groin (55%)
  • Pain in thigh (57%)
  • Pain in buttock (71%)
  • Pain in knee (22%)

Referral is required for early management.

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12
Q

What is the purpose of the FADIR special test?

A

To assess for FAI, Labral Tear, OA

Sensitivity: 94–99; Specificity: 8

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13
Q

What does a positive FABER test indicate?

A

Pain (groin/posterior/SIJ)

Sensitivity: 81; Specificity: 25

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14
Q

What is a common condition associated with greater trochanteric pain syndrome?

A

Tenderness over gluteal muscles

Common in older adults.

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15
Q

What are the signs of snapping hip syndrome?

A

Audible/palpable snap during hip movement

Can be internal (iliopsoas) or external (TFL/ITB).

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16
Q

Fill in the blank: Muscle strains can be graded from I (mild) to _______.

A

III (complete tear)

Strains are often caused by sudden activity.

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17
Q

What are the key pediatric hip conditions?

A
  • SCFE
  • LCPD
  • Apophysitis/Avulsions
  • Hip Dysplasia

Referral is needed for all pediatric red flags. (limb, ER posture, pain referral to knee)

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18
Q

What are the common sources of referred pain in hip conditions?

Study These Flashcards
A
  • Lumbar spine
  • SIJ/pelvis
  • Viscera

Regional interdependence should always be assessed.

19
Q

What should be integrated for clinical reasoning during hip evaluation?

Study These Flashcards
A

Subjective + objective data

This helps in confirming the structure and relevant tests.

20
Q

What is the primary objective of HIP Rehabilitation?

Study These Flashcards
A

Identify evidence-based interventions for soft tissue and bony injuries of the hip, and create an evidence-based rehabilitation program for the hip and thigh.

21
Q

What are general guidelines for treating Articular Dysfunction?

Study These Flashcards
A
  • Manual therapy
  • Trunk stability
  • ROM
  • Hip/trunk strengthening
  • Stretching
  • Joint mobility
  • Functional training
  • Neuro re-education
  • OA (osteoarthritis)
  • Patient education
  • Gait training
  • Flexibility
  • Capsular pattern
  • Endurance
22
Q

What are the components of treatment for Femoral Acetabular Impingement (FAI)?

Study These Flashcards
A
  • Activity modification
  • Postural correction
  • Balance
  • Movement pattern training
  • Activity specific training
  • Surgery
23
Q

What is a key consideration in treating Avascular Necrosis of the femoral head?

Study These Flashcards
A

Protected weightbearing with crutches, walkers, or canes and activity modification to avoid overloading.

24
Q

What interventions are included for Osteochondral lesions?

Study These Flashcards
A
  • Patient education
  • Pain medication
  • Symptom control
  • NSAIDs
  • Activity modification
  • Gait training
  • Dynamic stabilization
  • Hyaluronic acid injections
  • PRP
  • MSC and BMAC
  • Surgery
25
What is the recommended treatment for Hip Dislocation?
* Urgent closed reduction * Minimized risk of osteonecrosis * Protected weight bearing * Strengthening of hip and surrounding areas * Functional training * Progressive weight bearing
26
What are the general guidelines for treating Stress fractures?
* Progressive resistance training * Balance training * Functional mobility * Weight bearing exercises * Low impact, progressive loading * ROM * Manual therapy * Core strengthening * Stretching * Progressive strengthening * Mobility
27
What treatment strategies are used for Muscle Dysfunction?
* Relative rest * Activity modification * Core stability * Manual therapy * Functional training * Progressive strengthening * Mobility
28
What are the treatment options for Snapping hip syndrome?
* Steroid injections * NSAIDs * Activity modification * Surgery (external or internal release)
29
What is the RICE protocol used for?
Muscle contusions and strains, involving Rest, Ice, Compression, and Elevation.
30
What is the significance of myositis ossificans in muscle injuries?
It involves abnormal bone formation in muscle tissue, treated with NSAIDs and stretching.
31
Fill in the blank: The treatment for Labral tears often includes _______.
[activity modification, postural correction, balance, movement pattern training]
32
True or False: Avascular Necrosis requires progressive loading to improve bone health.
False
33
What is the role of NSAIDs in managing Osteochondral lesions?
Symptom control and pain management.
34
What type of injections may be used for symptom relief in hip conditions?
* Hyaluronic acid injections * PRP * MSC and BMAC
35
What should be avoided in treating Avascular Necrosis?
Overloading the bone or deforming the femoral head.
36
What is a key component of treatment for Muscle Strains?
Gentle active pain-free ROM and progressive strengthening.
37
with a quadricep contusion the first 24 horus should be at what degree to limit a hematoma formation?
hinged brace at 120°
38
# apophysitis adn avulsion injuries region: iliac crest muscle: abdominal obliques MOI: test that elicits pain:
MOI: direct impact (lacrosse, hockey) forceful trunk rotation test that elicits pain: resisted hip flexion, trunk flexion or rotation
39
region: ASIS muscle: sartorius, TFL MOI: test that elicits pain:
MOI: sudden hip extension and knee flexion during running or sprinting test that elicits pain: active or ressited adduction or hip flexion
40
region: AIIS muscle: rectus femoris MOI: test that elicits pain:
MOI: kicking, overloading the rec fem, sprinting test that elicits pain: resisted hip flexion with extended knee; passive hip extension
41
region: ischial tuberosity muscle: hamstrings MOI: test that elicits pain:
MOI: maximal hamstring contraction with knee extended and the hip flexed test that elicits pain: passive knee extension with hip flexed; resisted hip extension
42
region: lesser trochanter muscle: iliospoas MOI: test that elicits pain:
MOI: sudden, forceful hip flexion (football, gymastics, track) test that elicits pain: resisted hip flexion with knee in flexion
43
What is the capsular pattern see in a slipped capital femoral epiphysis (SCFE)?
flexion, IR, abduction

MSK 1 (16 decks)

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