1.7. Hip Complaint

Question 1

What are the 4 most common conditions affecting the hip?

Answer 1

1. Trochanteris bursitis
2. Gluteus medius bursitis
3. osteoarthritis
4. femur fractures

Question 2

How common is hip pain in patient’s over 60?

Answer 2

14.3% report significant pain on most days over a 6 week study

Question 3

What is the classic pattern of trochanteric bursitis?

Answer 3

lateral hip pain aggravated by direct pressure

-if it’s progressive lateral hip pain by direct pressure and weight bearing, concern for metastatic cancer

Question 4

What is the classic presentation of meralgia paresthetica?

Answer 4

• hip pain associated with paresthesias, hypesthesia, and other symptoms in the anterolateral thigh due to lateral femoral n. entrapment
• localized pain, “burning or uncomfortable heightened sensation”
• not influenced by direct pressure, hip or low back movement

Question 5

Classic presentation of lumbar radiculopathy

Answer 5

lateral hip pain extending over wider area than meralgia paresthetica, radiating down leg and into foot, w or w/o foot numbness
-L4-5 nerve roots

Question 6

Myalopathy

Answer 6

nerve pain so severe that you cannot move extremity

Question 7

What type of people are prone to meralgia paresthetica?

Answer 7

• Pple w/ large abdominal panus

- Tight belts: police officers, electricians