Hip 1

Question 1

Legg-Calve Perthes

Answer 1

• Avascular necrosis of femoral head
• Pain in hip, groin, thigh, or knee
• Ages 4-10

Question 2

Slipped capital femoral epiphylysis

Answer 2

• Females aged 11-13
• Males aged 13-15
• Overweight, underdeveloped
• Sometimes can only present with knee pain despite clear knee exam

Question 3

CPR for hip OA

Answer 3

• Moderate lateral or anterior hip pain during weight bearing
• Age >50
• Morning stiffness <1 hour
• limited hip flexion and IR by more than 15 degrees when compared to unaffected side
• Hip IR <24 degrees
• Pain with passive IR

Question 4

Hamstring syndrome clinical triad

Answer 4

• Increased pain with sitting
• Resisted knee flexion at 90 is painful
• With hip in neutral is not

Question 5

Piriformis Syndrome

Answer 5

• Increased buttock pain
• Sitting may decrease pain
• +FAIR

Question 6

Hamstring Tendonopathy

Answer 6

• Not provoked with DISLR, or DISlump

- Resistive testing with hip flexed and extended is painful

Question 7

Trochanteric bursitis

Answer 7

• pain with ER/IR with hip in full flexion
• Negative slump and SLR
• Transverse friction massage makes bursitis worse but tendonopathy better (good diagnostic tool)

Question 8

Pudendal nerve entrapment

Answer 8

• can be entrapped between sacrotuberous and sacrospinous ligaments
• deep squatting may aggravate it
• use donut shaped cushion to sit on
• cannot mobilize with nerve mobs due to anatomy

Question 9

Obturator nerve entrapment

Answer 9

• deep vague groin pain
• provoked by resisted hip adduction
• post exercise adductor weakness
• parasthesia in medial thigh