Hip

Question 1

What is this a presentation of?
Insidious onset thigh/buttock pain, referring down thighs, stiffness of hip flexion. Pain worsened by activity and at night.

Answer 1

Hip osteoarthritis

Question 2

How is suspected hip osteoarthritis investigated?

Answer 2

Thomas test +ve, reduced range of motion (especially internal rotation).

Question 3

What is the treatment for hip osteoarthritis?

Answer 3

Physio, NSAIDs, surgical arthroplasty.

Question 4

What is this a presentation of?

Elderly female with localised pain over lateral thigh, pain when lying on that side.

Answer 4

Greater trochanteric bursitis

Question 5

What is the treatment for greater trochanteric bursitis?

Answer 5

NSAIDs, physio, steroid injections, surgical bursectomy.

Question 6

What are the causes of sacro-iliac joint dysfunction due to immobility and subsequent inflammation?

Answer 6

1. Osteoarthritis
2. Pregnancy
3. Ankylosing spondylitis

Question 7

What is the treatment for sacro-iliac joint dysfunction?

Answer 7

NSAIDs, physio, steroid injections.