CLINICAL CARE OF THE HIP, THIGH, AND KNEE

Question 1

What type of hip dislocation is most common?

Answer 1

Posterior dislocation

Question 2

With regards to a physical exam, what is the difference in presentation between a posterior and anterior dislocation?

Answer 2

Posterior-Affected limb is short, hip is fixed in adducted and internally rotated position.
Anterior- hip is held in abduction and external rotation.

Question 3

What are the clinical symptoms for a stress fracture of the femoral neck?

Answer 3

• Vague pain in the anterior groin or thigh.
• Exacerbated by activity and bearing weight.
• Story of increasing activity prior to pain.

Question 4

What is the special test for stress fracture of the femoral neck?

Answer 4

Log roll, positive with internal rotation.

Question 5

What muscles are associated with a hip strain?

Answer 5

• Iliopsoas
• Sartorius
• Rectus Femoris

Question 6

What is the special test for a hip strain?

Answer 6

Thomas test

Question 7

What are some physical exam findings for a hip strain?

Answer 7

• Mild ecchymosis or edema
• Strength limited by pain
• Increased pain while attempting ROM.

Question 8

In a thigh strain, what muscles are injured more often?

Answer 8

Hamstrings

Question 9

Where do thigh strain/tears typically occur?

Answer 9

Musculotendinous junction

Question 10

What are the clinical symptoms of a thigh strain?

Answer 10

• Sudden onset of posterior or thigh pain.
• A “pop” may have been perceived
• Quad strains are associated with direct blows during contact sports.

Question 11

What is possibly associated with lumbar spine disease, intraarticular hip pathology, significant
limb- length inequalities, inflammatory arthritis, or previous surgery around the hip

Answer 11

Trochanteric Bursitis