HIP Not Finjshed

Question 1

What is greater trochanteric pain syndrome?

Answer 1

symptoms of pain over GT of the hip
includes: bursitis, gluteal tendinopathy, ITB pathology

Question 2

What are the three common GT bursa?

Answer 2

gluteus minimus (above and slightly anterior to proximal and superior GT)
subgluteus medius bursa
subgluteus maximus bursa

Question 3

What are the most common age groups for trochanteric pain?

Answer 3

mid age women 40s and elderly 60s+

Question 4

what is cause of pain in lateral hip region? GT pain syndrome

Answer 4

glute med tendon (mainly)
other: subgluteus max bursa
gluteal tendinopathy/atrophy
TFL tendinopathy

Question 5

trochanteric pain is initially caused by

Answer 5

inflammation
then, tendon goes through oxidative stress/apoptosis
anoxia=stimilates pain receptors
chronic pain then follows with adrenergic involvement

Question 6

___ rubs over ___ tendon or repetitive microtrauma to muscles cause trochanteric pain

Answer 6

ITB rubs over glute med tendon over time

Question 7

MOI for GT pain syndrome

Answer 7

trauma: hip hyperadduction, fall/blow to lateral hip
more common MOI: overuse

Question 8

contributing factors to GT pain

Answer 8

bad mechanics
prolonged sit/standing
lumbar/SI pathology
Leg length discrepancy
weak multifidus/transverse abs
tight hip flexors, adductors, hams

Question 9

patient has pain over posterior lateral hip, butt, lateral thigh. What could they have?

Answer 9

GT pain syndrome

Question 10

what makes GT pain worse?

Answer 10

sidelying, standing, crossing legs, stairs/uphill walking
hip ext rotation, abduction
running, jumping
(anything using glutes a lot)

Question 11

what makes GT pain better?

Answer 11

rest
NSAIDs
supine
lying on opp side with pillow between knees

Question 12

surgery for GT pain syndrome

Answer 12

steroid injections
bursal sac/calcification excision
ITB release
tendon anchor repair
trochanteric reduction osteotomy

Question 13

STM of what muscle could help with GT pain syndrome?

Answer 13

ITB

Question 14

what exercises could help promote adequate hip ROM, pelvic stability, and strength?

Answer 14

eccentric glute exercises
other important stabilizers: trunk/pelvic stabilizers

Question 15

injury prevention for GT pain

Answer 15

*modified running
*athletic footwear
*correct LLD
(trunk, hip strength, glutes important)

Question 16

hamstring tendinopathy

Answer 16

acute: microtear, inflammation
chronic: degeneration

Question 17

hamstring strains (review grade I, II, III)

Answer 17

grade I: pain, no ROM/strength loss
grade II: tissue damage
grade III: complete disruption, hematoma, complete strength/function loss

Question 18

what are the most commonly strained muscles?

Answer 18

hamstrings *biceps femoris most common

Question 19

strains happen at ____junction, tendon injuries occur at ______

Answer 19

strains: musculotendinous junction along entire length of hamstring
tendon: proximal, close to isch tub insertion

Question 20

hamstring strains are due to

Answer 20

eccentric load/indirect injury (noncontact usually)

Question 21

hamstring tendon injuries are due to

Answer 21

repetitive loading (blood supply to tendon is poor=poor healing=tendinopathy/tendinosis

Question 22

hamstring strain can cause pain anywhere in muscle while tendinopathy will usually present as

Answer 22

glute pain with point tenderness (near insertion) but occasionally in muscle

Question 23

hamstring injury signs/symptoms

Answer 23

pop/tear
tenderness with PROM and palpation
post thigh pain, worse with RROM knee flexion

Question 24

what aggravates hamstring injuries?

Answer 24

anything eccentric
decelerating knee extension

Question 25

to rehab hamstring injury, what should you focus on?

Answer 25

stability (abs, back, pelvis, glutes) correct biomechanics, flexibility
***eccentric ham strength and flexibility

Question 26

labral tears are defined as

Answer 26

tear of cartilage lining acetabulum
*connected to hip pathologies