DD For Hip

Question 1

What would pain in groin, front or medial side of thigh to the knee indicate?

Answer 1

Laboral tear or anterior impingement

Question 2

What would pain in the buttock or piriformis indicate?

Answer 2

Posterior laboral tear, lumbar problem

Question 3

What would pain around the adductors indicate?

Answer 3

Pelvic instability or overactive adductors

Question 4

What would pain in the lumbar or lateral side of the hip indicate?

Answer 4

Lumbar spine issues

Question 5

What would pain on the lateral side of the hip indicate?

Answer 5

Trochanters bursitis, glut med tendon, L4 nerve root pain

Question 6

If there is clicking in the hip what is the nature of the pain?

Answer 6

Labral tear

Question 7

If there is snapping while performing IR what could this indicate?

Answer 7

Iliopsoas tendon or iliofemoral ligament
-45 degrees of flex to ext especially with hip ABD and ER; anterior

Question 8

If there is snapping while performing ER what could this indicate?

Answer 8

Tight ITb or glute max tendon over greater troch.
-Flex to ext especially with IR; lateral

Question 9

If there is intra-articular snapping what could this indicate?

Answer 9

Acetabular labral tear or loose bodies- sharp pain into groin and anterior thigh; passively click with hip extension, add and er

Question 10

What are the special tests used to diagnose a labral tear?

Answer 10

-FABER/FADIR
-Ant/post labral tear test
-Scour test
-Thomas test (- Rules out labral tear) but if it is positive then it rules it in bc of the pull on the capsule/labrum