Hip and Pelvis Soft Tissue Flashcards
If a patient reports of pain in the lateral thigh and is exacerbated when transferring from sitting to standing, what is your initial hypothesis?
a. OA
b. Labral Tear
c. Greater trochanteric bursitis or muscle strain
d. Avascular Necrosis
Greater trochanteric bursitis or muscle strain
If a patient is >60 y/o and reports of pain and stiffness in the hip with possible radiation into the groin, what is your initial hypothesis?
a. OA
b. Labral Tear
c. Greater trochanteric bursitis or muscle strain
d. Avascular Necrosis
OA
A patient reports of clicking and/or catching in the hip joint. Pain exacerbated by full flexion or extension, what is your initial hypothesis?
a. OA
b. Labral Tear
c. Greater trochanteric bursitis or muscle strain
d. Avascular Necrosis
Labral tear
Patient reports of a repetitive or overuse injury, what is your initial hypothesis?
a. Muscle sprain/strain
b. Labral Tear
c. Greater trochanteric bursitis or muscle strain
d. Avascular Necrosis
Muscle sprain/train
Patient reports of deep, aching throb in the hip or groin and a possible history of prolonged steroid use, what is your initial hypothesis?
a. OA
b. Labral Tear
c. Greater trochanteric bursitis or muscle strain
d. Avascular Necrosis
Avascular necrosis
Patient reports of pain in the gluteal region with occasional radiation into the posterior thigh and calf, what is your initial hypothesis?
a. Avascular Necrosis
b. Piriformis syndrome, hamstring strain or ischial bursitis
c. Greater trochanteric bursitis
d. Labral tear
Piriformis syndrome, hamstring strain or ischial bursitis
Hip pain is typically found in what area?
a. anterior or lateral groin area
b. posterior or medial groin area
c. anterior or medial groin area
d. posterior or lateral groin area
anterior or medial groin area
Lateral pain in the hip is usually _ or _ referred
trochanteric or L4 referred
Pain that may be due to SIJ, piriformis or L5-S1 referred is found
a. anteriorly
b. posterior
c. medial
d. lateral
posterior
Hip pain doesnt extend down the thigh towards the knee (true/false)
false
This type of bursitis is usually due to direct trauma or repetitive friction from IT band over the greater trochanter during flexion/extension
a. trochanteric bursitis
b. ischial bursitis
c. iliopectineal bursitis
d. ITB bursitis
trochanteric bursitis
This bursitis can be due to direct trauma or movement in sitting position
a. trochanteric bursitis
b. ischial bursitis
c. iliopectineal bursitis
d. ITB bursitis
ischial bursitis
This bursitis is anterior hip pain and can be difficult to differentiate from hip flexor strain
a. trochanteric bursitis
b. ischial bursitis
c. iliopectineal bursitis
d. ITB bursitis
iliopectineal bursitis
True hip pain is typically made worse by walking (True/false)
true
Pain from the lumbar spine can be due to
a. L5, S1
b. L1, L2
c. L2, L3
d. L3, L4
L2-L3
A patient presents with pain with weight bearing when they run, local pain, swelling and point tenderness over the greater trochanter, what could they be diagnosed with?
a. trochanteric bursitis
b. ITB bursitis
c. gluteus medius tendinosis
d. iliopectinal bursitis
trochanteric bursitis
Patient presents with sharp pain over the greater trochanter that progresses to a dull ache with activity and may recur
a. trochanteric bursitis
b. ITB bursitis
c. gluteus medius tendinosis
d. iliopectinal bursitis
trochanteric bursitis
What will you see in examination with trochanteric bursitis?
usually no signs of trauma ITB tight increased Q-angle crepitus over trochanter resisted abduction may be painful and gluteus may be weak
What will be seen with AROM and PROM with trochanteric bursitis?
pain AROM hip flexion and extension
pain with PROM flexion, IR and adduction
What are possible causes of gluteus medius tendinosis/tendinopathy?
friction
alteration in gait
repetitive microtrauma
GT bursitis may result from _
GT bursitis may result from tendinitis
Ischial bursitis becomes painful and inflamed with _ _
excessive friction
Is the ischial tuberosity point tender with ischial bursitis
yes
Ischial bursitis is painful with A/PROM into _ and _
hip flexion - stretches it
hip extension - squeezes it
What is iliopsoas bursitis most likely caused by?
repetitive hip flexion (running uphill)
Ilipsoas bursitis may refer to _ and _ dermatome
a. L2 and L3
b. L1 and L2
c. L3 and L4
d. L5 and S1
L2 and L3
iliopsoas bursitis will produce pain with AROM
hip flexion and extension
iliopsoas bursitis will produce pain with PROM
hip extension
patients with iliopsoas bursitis may have tight
iliopsoas and rectus femoris
A contusion of the greater trochanter, iliac crest or ASIS from direct blow or landing on the hip
hip pointer
Hip pointer will have painful AROM
contralateral trunk side bending
Hip pointer will have painful PROM with
hip adduction, flexion (same side)
This is defined as spasm/hypertrophy of piriformis compresses “sciatic” nerve
piriformis syndrome