Hip common pathologies

Question 1

Osteoarthritis- age and gender?

Answer 1

1/9 in over 45 year olds

Double the prevalence in women

Question 2

OA- Mechanism of injury?

Answer 2

Insidious

Question 3

OA- Pain?

Answer 3

Deep ache in groin/thigh/knee/leg
Morning stiffness
Medial rotation less than 15 degrees

Question 4

OA- aggravated by?

Answer 4

Weight bearing

Prolonged rest

Question 5

OA- what test?

Answer 5

Flexion Quadrant test

Question 6

Anterior impingement- age and gender?

Answer 6

25-50

Question 7

Anterior impingement- Mechanism of injury?

Answer 7

Structural deformity
Insidious
PINCER and CAM

Question 8

Anterior impingement- pain?

Answer 8

Anterolateral hip pain

Sign of the C

Question 9

Anterior impingement- aggravated by?

Answer 9

Prolonged sitting forwards

Rising from chair

Question 10

Anterior impingement- test?

Answer 10

FADIR test

Question 11

Labral tears- age and gender?

Answer 11

Varied

Question 12

Labral tears- Mechanism of injury?

Answer 12

Structural deformity
Major trauma
Repetitive sporting activities

Question 13

Labral tears- pain?

Answer 13

Anterior tears- groin/thigh
Posterior tears- buttock
Clicking, locking, giving way

Question 14

Labral tears- test?

Answer 14

FADIR, FABER, Quadrant

Question 15

Greater trochanteric pain syndrome- age and gender?

Answer 15

40 and above

Question 16

GTPS- Mechanism of injury?

Answer 16

Insidious
Trauma to hip
Repetitive sporting activities

Question 17

GTPS- pain?

Answer 17

Deep ache in groin, lateral thigh
Radiating to leg
Snapping laterally

Question 18

GTPS- test?

Answer 18

Trendelenburg’s test

End range flexion and adduction and medial rotation?

Question 19

GTPS- aggravted by?

Answer 19

Running
Ascending stairs
Sitting cross legged

Question 20

Labral tears- aggravated by?

Answer 20

Dancing
Squatting
Swimming
Pivoting movements

Question 21

IT band syndrome- age and gender?

Answer 21

Varied

Question 22

IT band syndrome- Mechanism of injury?

Answer 22

Repetitive sporting activities

Question 23

IT band syndrome- pain?

Answer 23

Tenderness on lateral epicondyle of femur

Lateral knee pain

Question 24

IT band syndrome- aggravated by?

Answer 24

Running

Cycling

Question 25

IT band syndrome- test?

Answer 25

Ober’s test

Question 26

Piriformis syndrome pain

Answer 26

Pain/numbness in buttock
Hip or posterior thigh pain/numbness
Tenderness on palpation

Question 27

Piriformis other symptoms

Answer 27

Restricted medial rotation

Sciatic nerve signs