Hip

Question 1

Hip muscle strain

Answer 1

• Activity or trauma related with hyperextension, mostly groin
• Pt can tell exactly how and when it happened
  S&S:
• Pain increases with activity
• Swelling, bruising, localized tenderness.
• Pain and weakness with active ROM
  DX:
  -Radiograph only if fracture
  TX:
• Pain mgmt
• Crutches
• PT

Question 2

Tendinopathy/Bursitis

Answer 2

• Trauma
• Pt not sure how it happened
  S&S:
• Increased activity intolerance- running
• Snapping or clunking at hip flexor crease with tendinitis
  DX:
• MRI
  TX:
• Pain mgmt
• Crutches
• PT

Question 3

Slipped capital femoral epiphysis (SCFE)

Answer 3

• Dislocation of head of femur at epiphyseal plate
• Common in adolescent boys
  S&S:
• New onset of limp with inability to bear weight
• Decreased abduction and internal rotation
  DX:
  -XRay
  TX:
• Ortho referral

Question 4

Apopyseal injury

Answer 4

• Tendon dettaches from bone
• Common in adolescents
  S&S:
• Pain and gait changes
  DX:
• Radiography
  TX:
• Ortho referral

Question 5

Developmental dysplasia of the hip DDD

Answer 5

• Congenital
• Newborns born breech- mostly girls
  S&S:
• Leg discrepancy and asymmetrical gluteal folds
  DX:
• Barlow and Ortolini: First Barlow: dislocate the hip by adducting then Ortolini to confirm dysplasia by abducting and hearing a clunk
  TX:
• Ortho