Adult Hip Pain

Question 1

features of pain in osteoarthritis?

Answer 1

• worsened by exercise, relieved by rest
• first sign: reduced int rotation
• risk factors: age, obesity, prev. joint problems

Question 2

features of pain in inflammatory arthritis?

Answer 2

• pain in morning
• systemic features
• raised inflammatory markers

Question 3

features of pain in referred lumbar spine pain?

Answer 3

• referred hip pain caused by femoral nerve compression
• • femoral n. stretch test

Question 4

what is the femoral . stretch test?

Answer 4

pt prone
extend hip joint + straight leg
bend knee -> stretches femoral n.

pain occurs if nerve is trapped

Question 5

features of pain in greater trochanteric pain syndrome?

Answer 5

lat. side of thigh
common in women 50-70y
due to repeated movement of ITB

Question 6

features of pain in meralgia paraesthetica?

Answer 6

due to compressed lat cut n. of thigh
burning sensation anterolateral thigh

Question 7

features of pain in avn?

Answer 7

gradual or sudden onset
may be after high-dose steroid therapy or prev. hip # or dislocation

Question 8

features of pubic symphysis dysfunction?

Answer 8

pain - pubic symphysis w radiation to groin + medial thigh

common in pregnancy - ligament laxity increases in response to pregnancy hormonal changes

waddling gait might be seen

Question 9

features of transient idiopathic osteoporosis?

Answer 9

uncommon
sometimes seen in third trimester
groin pain a/w limited hip movement
pt unable to WB
elevated ESR

Question 10

x-ray features of avn?

Answer 10

segmental flattening of femoral head
osteopaenia
subchondral fracture