MSK basic - hip conditions

Question 1

Intra-articular conditions

Answer 1

o Femoral acetabular impingement (FAIS)
o Dysplasia
o Mircoinstablity
o OA
o Stress fracture
o Labral tear

Question 1

Extra articular issues

Answer 1

o Great trochanteric syndrome
o Iliopsoas related groin pain
o Adductor injuries
o Athletic pubalgia/ core injuries
o Piriformis syndrome
o Pubic related groin pain

Question 2

Femoral acetabular impingement (FAIS) - symptom location

Answer 2

groin - C sign

Question 3

Femoral acetabular impingement (FAIS) - activity aggravations

Answer 3

Prolonged flexion and or IR

Question 4

FAIS - what population

Answer 4

younger pop

Female > male

Question 5

FAIS strength deficits

Answer 5

Abductor muscles
Hip rotators

Question 6

FAIS - testing (special tests)

Answer 6

FADIR

Question 7

FAIS - functional test

Answer 7

Step down

Single leg squat
- May provoke primary symptom
- Poor frontal and transverse place control
- Poor pelvic and postural control

Question 8

Mircoinstablity - pain location

Answer 8

Groin

Pelvic muscle-tendon pain

Question 9

Mircoinstablity - aggrevations

Answer 9

repetitive forces to the iliofemoral ligament and labrum

Question 10

Mircoinstablity - strength

Answer 10

Abductors
Rotators

Lumbopelvic

Question 11

Mircoinstablity - population

Answer 11

Beighton – universal laxity may predispose

Younger population

Question 12

Mircoinstablity - tests

Answer 12

Log roll
Prone apprehension test
ROM – excessive or apprehensive

Question 13

mircoinstablity - Functional

Answer 13

• Poor frontal and transverse place control
• Poor pelvic and postural control in the frontal plane

Question 14

Labral tear - presentation

Answer 14

Anterior hip/groin pain

painful clicking and poping

Question 15

Labral tear - what kind of injury

Answer 15

Overuse injury

Question 16

Labral tear - normal strength

Answer 16

No issues with pain or strength or flexibility testing

Question 17

Labral tear - testing

Answer 17

FADIR - Flexion and IR

Rebound pain with LAHD

Loss of ROM

Question 18

what kind of treatment is first used with a labral tear

Answer 18

conservative

Question 19

OA - location

Answer 19

anterior (groin)

and/or

lateral regions of the hip

Question 20

OA - presentation

Answer 20

joint crepitus
(Gradual on set)

Stiffness greater in the morning: decreasing in 1hr.

Question 21

OA - pop

Answer 21

45 or older

History of development disorder

FAI history

Previous injury to hip

Question 22

OA tests

Answer 22

FABER
Scour
(-) FADIR

Range of motion in a capsular pattern (IR > abd > flexion)

Long axis distraction

Question 23

Hip Stress fracture - pain location

Answer 23

Groin & anterior thigh most common

Question 24

hip stress fraction - presentation

Answer 24

1. after strenuous activity
2. Low level activity
3. (acute) painful at night and with rest

Question 25

hip stress fracture - tests

Answer 25

end-range IR overpressure
SLR
MMT flexion
MMT abduction

Clinical Tests: Patellar-pubic Percussion Test

Question 26

Greater trochanteric pain syndrome (GTPS) - pain loction

Answer 26

Lateral hip region
- Worst pain over the greater trochanter
- May radiate around the trochanter

Question 27

Greater trochanteric pain syndrome (GTPS) - presentation

Answer 27

snapping symptoms

Variable:
Walking
side lying
sitting

Fatigue and possible gait disturbance

May demonstrate difficulty on stairs

Question 28

Greater trochanteric pain syndrome (GTPS) - test

Answer 28

Test/results:

Palpation- tendon pain
Resisted - Pain/weakness with resisted abduction
Gluteal Derotation Test - +
Single leg stand – pain w/in 30 secs (change to SL-squat for athletes)

*Rule out intra-articular involvement as primary source
*the more of these finding the more we think this is the issue

Question 29

what is GTPS

Answer 29

when the tissue that lie outside of the hip bone become