Hip Flashcards
What is Greater Trochanteric Pain Syndrome?
It is prolonged or intermittent peritrochanteric pain exacerbated by palpation of the lateral aspect of the hip.
Who is mostly affected by Greater Trochanteric Pain Syndrome?
It is mostly common in women, especially peri-menopausal.
What is postulated to cause Greater Trochanteric Pain Syndrome?
A decline of oestrogen leads to a decline in collagen production, which decreases tendon health and integrity.
What are the key examination findings for Greater Trochanteric Pain Syndrome?
Key findings include pain on palpation over the trochanter and gluteal tendon, pain on AROM with weight bearing, and pain when lying on the affected side.
What is the management approach for Greater Trochanteric Pain Syndrome?
Management includes education, load/activity management, manual therapy, exercise rehabilitation, and medical intervention.
What are the symptoms of FAI syndrome?
Symptoms include motion or position-related pain in the hip or groin, referred pain to back, buttock, or thigh, and clicking or catching sensations.
What is the significance of FAI with labral tear?
FAI with labral tear is common and represents symptomatic premature contact between the proximal femur and the acetabulum.
What are the key examination findings for FAI syndrome?
Key findings include antalgic gait, pain during hip ROM, and restricted hip range of motion, particularly internal rotation.
What is the gold standard for diagnosing a hip labral tear?
MRI of the hip is the gold standard for evaluating labral pathology.
What are the common symptoms of a hip labral tear?
Symptoms include pain in the hip or groin, clicking, catching, and pain during functional movements.
What is the initial management for a hip labral tear?
Conservative management is the first approach, including manual therapy and neuromotor control.
What is involved in the clinical approach to hip pain?
The clinical approach involves examining for coexisting groin-related pathology and assessing lower limb alignment, gait, and range of motion.
What are the key patient-reported outcome measures (PROMs) for hip conditions?
Key PROMs include the Copenhagen Hip and Groin outcome score (HAGOS) and the Hip dysfunction and Osteoarthritis outcome score (HOOS).
What imaging is used for diagnosing hip pathology?
Plain radiographs, MRI, and ultrasound are the mainstay of imaging for hip pathology.
