Hip: DDx 3 Flashcards

1
Q

snapping hip syndrome aka

A

coxa saltans

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2
Q

snapping hip syndrome: (intra/extra)articular

A

can be classified as intra-articular or extra-articular

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3
Q

cause of intra-articular snapping hip syndrome

A

snapping of ILIOPSOAS tendon over the ILIOPECTINEAL EMINENCE

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4
Q

extra-articular snapping hip syndrome related to thickening of the

A
  • iliotibial tract at the greater trochanter
  • iliopsoas at the pectin pubis
  • proximal hamstring at ischial tuberosity
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5
Q

extra-articular snapping hip syndrome related to fibrosis of

A

gluteus maximus in the posterior hip

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6
Q

extra-articular snapping hip syndrome related to bursa?

A

adventitious bursal formations

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7
Q

snapping hip syndrome: strengthening focused at improving…

A

abduction
extension
ER

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8
Q

snapping hip syndrome: focus on normalizing

A

atypical movement patterns

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9
Q

snapping hip syndrome: what should be avoided in early stages of treatment?

A

avoid aggravating and overloading activities

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10
Q

snapping hip syndrome: what does the literature say for treating internal/external snapping hip syndrome

A

lack of good quality literature…

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11
Q

snapping hip syndrome: should improve ROM at the hip as well as looking (where) for regional interdependence contributions to dysfunction

A

lumbar spine

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12
Q

FAI: CAM lesions common in pts with a hx of

A
  • SCFE
  • LCP
  • anteversion
  • coxa vara
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13
Q

non spherical femoral head causes damage to labrum during hip movement

A

CAM lesion

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14
Q

FAI: pincer lesions common in pts with hx of

A
  • acetabular retroversion/protrusion

- coxa profunda

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15
Q

FAI: commonly have CAM/pincer

A

mixture of CAM and pincer

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16
Q

FAI: interventions (generalized)

A
  • education
  • joint unloading
  • HVLAT
  • change in seat
  • AD
  • injections
  • surgery
17
Q

Labral tears can be a result of

A
  • microtrauma
  • macrotrauma
  • degeneration related to dysplasia
  • developmental deficiencies
18
Q

Hip labral tears: TRAUMATIC lesions can account for approximately (%) of all lesions

A

46%

19
Q

Hip labral tears: DEGENERATIVE lesions can account for approximately (%) of all lesions (including pre-arthritic and dysplastic conditions)

A

49%

20
Q

Hip labral tears: CONGENITAL lesions can account for approximately (%) of all lesions

A

5%

21
Q

Hip labral tears: patient reported symptoms

increased pain with

A

sitting

climbing stairs

22
Q

Hip labral tears: may have these symptoms with WB activities

A
  • clicking
  • locking
  • giving way
23
Q

Hip labral tears: pain location

A
  • groin
  • buttock
  • trochanteric region

(or any possible combination of these areas)

24
Q

Hip labral tears: ROM assessment

pain and possible limitation during

A

PROM with the hip flexed

no limitation with the hips extended

25
Q

loose body in the hip: labral tears can lead to what type of pattern limitation in the hip

A

noncapsular pattern limitation

26
Q

A noncapsular pattern of limitation can often be a cardinal feature of

A

articular loose body

27
Q

loose body in the hip: noncapsular pattern often accompanied by

A
  • pathological endfeel

- sharp shooting pain with feeling of giving way that immediately follows pain

28
Q

loose body in the hip: what can cause this?

A
  • acute trauma
  • osteochondritis dessicans
  • synovial osteochondromatosis
  • villonodular synovitis
  • flake fracture
  • OA
29
Q

loose body in the hip: gold standard for dx

A

hip arthroscopy

30
Q

loose body in the hip: imaging

A

CT and plain films frequently underestimate prevalence

31
Q

loose body in the hip: clinically, patients suffering from loose bodies often present with a limit and altered endfeel during these passive motions

A

adduction and/or ER