hip physical examination Flashcards
(21 cards)
hip pain causes
labral tear
OA
hip joint unstable
Glute medis tear/ tendinopathy
trocanteric bursitis
ligamentum teres tear
femoroacetabular impingement
labral tear causes
single or repetitive trauma=
rotation or flexion
congenital
degereneration
capsular laxity
labral tear clinical presentation
anterior groin pain
gradual onset
pain increase with activities
CATCHING/ LOCKING/ GIVE WAY/ SHARP PAIN
physical exam for labral tear
hip quadrant
FADIR
Thomas test
FABER
OA of hip causes
damage to subchondral bone
hypertrophic/ atrophic bone
none necrosis and periostits
synovial inflammation and thickening
clinical presentation of hip OA
local pain
morning stifness
pain and stifness
gait change
joint biomechanics for OA
joint shape
joint injury
overload
neuromuscular function
predisposition to OA
gender
age
race
genetics
obesity
physical exam hip OA
AROM - internal rotation
AROM- hip flexion
FABER test
Quadrant test
PAM hip
difference between OA and RA
loss of apeptite and faitgue with RA
stiffness last longer than an hour
bilateral
hip joint instability causes
trauma- hip dislocation
repetitive rotation movements
stretching capsule
reccurent dislocation
congential hypermobility
clinical presentation of hip joint instability
feeling catch/ click/ clunk
physical examination of hip instability
AROM
PROM
PAM
poor balance
poor control
excessive anterior translation of femoral head
global hypermobility syndrome
greater trochanteric pain syndrome causes
glut med or min tear or tendinopathy
trochanteric bursitis
subgluteal bursitis
proximal ITB thickening
Lateral snapping hip syndrome
clinical presentation of greater trochanteric pain syndrome
lateral, localised hip pain, ache,
pain lying on side or sitting with legs crossed
physical exam of greater torchanteric pain syndrome
pain with EOR/ ab/add/ IR/ ER
positive FABER test
active resisted abduction in adducted position
pain wih sustained single leg stance
positive resisted external de-rtation/ FADER-R test
positive Ober test
ligamentum teres tear causes
trauma
twisting/ hyperabduction
clinical presntation of ligamentum tear
anterior groin pain
gradual onset of symptoms
pain increase with activities
catching/ click/ locking/ giving way
femoroacetabular impingenemnt causes
proximal femoral growth plate still active
FAI clinical presentation
hip/ groin pain
pain with walking running
stiffness
clicking
catching
locking
restrictied ROM
physical exam of FAI
FADIR
QUADRANT
limited hip ROM
internal rotation in flexion
