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OPTIM OCS: LQ > Hip: DDx 5 > Flashcards

Hip: DDx 5 Flashcards

1
Q

pudendal neuralgia: involves the terminal branches of these nerves

A

S2-4 from the sacral plexus

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2
Q

pudendal neuralgia: where does the nerve become entrapped?

A
  • between sacrotuberal and sacrospinous ligaments
  • within the pudendal canal
  • as it crosses the falciform process of the sacrotuberal ligament
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3
Q

pudendal neuralgia: buttock pain from the pudendal nerve will be witnessed where?

A

lower inner gluteal quadrant

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4
Q

pudendal neuralgia: buttock pain on the lower inner gluteal quadrant and typically accompanied by

A

pain or burning in the perineal area

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5
Q

pudendal neuralgia: pain or burning sensation in the perineal area worsens with which activity

A

sitting

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6
Q

pudendal neuralgia: pain or burning sensation in the perineal area improves with which activity

A

standing

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7
Q

pudendal neuralgia: symptoms may be due to issues related to…

A
  • childbirth
  • pelvic surgery
  • skeletal abnormalities
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8
Q

pudendal neuralgia: in addition to anatomical changes, may also be elicited during these activities

A

bicycling - too narrow saddle pressing against the pudendal nerves within the pudendal canal

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9
Q

pudendal neuralgia: nonoperative treatments

A
  • relaxation of pelvic floor muscles

- implementing strategies to minimize compression

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10
Q

pudendal neuralgia: this can ease discomfort in sitting

A

use of sacral sitting pad with perineal cutout

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11
Q

pudendal neuralgia: avoiding these can reduce irritation from the sacrospinous ligament

A

avoiding deep squatting and sustained sitting with greater hip flexed postures

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12
Q

pudendal neuralgia: neural mobilization

A

not possible due to its location and course

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13
Q

pudendal neuralgia: other management if conservative care not successful

A
  • local nerve blocks

- steroid injections

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14
Q

bursitis: 3 major types in the hip

A
  • iliopsoas
  • ischiogluteal
  • trochanteric
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15
Q

What is a bursa?

A

fluid filled sac that decreases friction between structures of movement

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16
Q

bursitis: vascularity/nerve supply

A

highly vascular with rich nerve supply

17
Q

bursitis: primary or secondary disorder

A

rarely a primary disorder

18
Q

bursitis: occurs secondary to

A
  • sprains
  • strains
  • contusions
  • tendonitis
19
Q

bursitis: key to diagnosis

A

palpation

20
Q

bursitis: treatment overall

A
  • rest
  • modalities/meds
  • address “muscle imbalances”
21
Q

trochanteric bursitis: common misdiagnosis from

A
  • referred lumbar or SIJ pain
  • muscular pain
  • femoral stress fx
22
Q

trochanteric bursitis: pain over the lateral hip, especially during which activities?

A
  • standing from chairs
  • ascending stairs
  • WB
  • sidelying on affected side
23
Q

trochanteric bursitis: pain with palpation of

A

greater trochanter

24
Q

trochanteric bursitis: pain with resisted

A

hip abduction/ER

25
Q

trochanteric bursitis: special testing

A

(+) Ober

26
Q

trochanteric bursitis: these can be diagnostic

A

injections

27
Q

trochanteric bursitis: radiographs may reveal

A

calcification of bursa

28
Q

greater trochanteric pain syndrome: pain location

A
  • lateral hip/thigh

- buttock

29
Q

greater trochanteric pain syndrome: ttp over

A

greater trochanter

30
Q

greater trochanteric pain syndrome: same as trochanteric bursitis?

A

no

31
Q

greater trochanteric pain syndrome: inflammation

A

no s/s of inflammation

32
Q

greater trochanteric pain syndrome: etiology

A

unknown - high correlation with glute med tears

33
Q

greater trochanteric pain syndrome: ddx

A
  • LBP
  • femoral neural tension
  • fibromyalgia
  • DJD
  • bursitis
  • insufficiency fx of proximal femur
  • trauma
  • AVN
  • glute med/min tendon tears
34
Q

greater trochanteric pain syndrome: more common in males/females

A

females

35
Q

greater trochanteric pain syndrome: correlated with

A
  • female sex
  • ITB tenderness
  • knee OA
  • LBP
  • increased time with STS test
  • increased 20MWT
36
Q

greater trochanteric pain syndrome: correlated with BMI?

A

no

37
Q

greater trochanteric pain syndrome: correlated with hip IR ROM?

A

no

38
Q

greater trochanteric pain syndrome: imaging

A
  • imaging has found NO BURSITIS in those with GTPS

- often presence of glute med/min tears and/or tendinosis

OPTIM OCS: LQ (43 decks)

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