Hip Flashcards
most common site for iliotibal band snapping
greater trochanter
snapping usually occurs when
walking or rotation of hip
Trochanteric Bursitis pain location and radiation
over greater trochanter
radiate along lateral thigh
when is Trochanteric Bursitis pain worse?
rising from seater or recumbent position
feels somewhat better after few steps and recurs after prolonged walking
also night pain
Trochanteric Bursitis stretching
IT and gluten
Iliopsoas Bursitis pain location and radiation
anterior hip pain
may radiate to groin
when is Iliopsoas Bursitis pain worse?
when sitting
feels somewhat better after few steps and recurs after prolonged walking
Iliopsoas Bursitis starching
iliopsoas and hip flexors
Bursitis treatment general
NSAIDS
stretching
US guided corticosteroid injection into bursa
why order radiographs for snapping hip
rule out bony abnormalities and intra articular hip pathology
Hip impingement between the femoral head/neck and acetabulum
CAM
femoral deformity
Hip impingement between the femoral head/neck and acetabulum
pincer
acetabular deformity
impingement increased risk of
labral. tears, chondral injury, early onset OA
Femoroacetabular Impingement ROM
internal ROM loss greater than hip flexion ROM loss
what type of pain at rest with Femoroacetabular Impingement (FAI)
achy
impingement test
combined flexion, horiztonal adduction, internal rotation
Femoroacetabular Impingement (FAI) imaging
plain radiographs
MRI with arthrogram
marraine injection test
axial load along the femoral shaft
hip dislocation
scissor position
posterior hip dislocation
which appears shorter
posterior hip dislocation
helpless eversion
anterior hip dislocation
extremist may appear longer
anterior hip dislocation
avascular necrosis of femoral head
rupture of ligmentum theres artery
Posterior Hip Dislocation Reduction
Allis
Legg Calve Perthes disease common in with population
kids
Avascular Necrosis adult
groin pain is initial complaint
pain with weight bearing
Avascular Necrosis Pediatric
painless limp
Avascular Necrosis ROM loss
internal rotation and abduction
Avascular Necrosis earnest sign on xray
crescent sign
Avascular Necrosis early detection imaging
MRI
Avascular Necrosis treatment adults
core decompression with bone graft
replacement id advanced