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OPTIM OCS: LQ > Hip: DDx 6 > Flashcards

Hip: DDx 6 Flashcards

1
Q

hip lag sign: used to dx what?

A

damage to hip abductors

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2
Q

patient positioning for hip lag sign

A
  • sidelying with affected leg on top
  • examiner stabilizes pelvis with one hand and positions the other under the hip
  • passive extension 10˚
  • passive abduction 20˚
  • maximal IR
  • 45˚ knee ext
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3
Q

hip lag sign: once in start position, what is the pt asked to do?

A

hold the position actively while the examiner releases the leg

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4
Q

hip lag sign: (+) test

A

pt unable to keep the leg in the test position and the foot drops more than 10 cm

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5
Q

hip lag sign: sensitivity

A

Sn = 89%

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6
Q

hip lag sign: specificity

A

Sp = 95%

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7
Q

ITBS: s/s

A
  • lateral hip, thigh, knee pain

- snapping ITB over greater trochanter

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8
Q

ITBS: onset

A

gradual onset, overuse

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9
Q

ITBS: special testing

A

(+) Ober

newer research shows this test may actually be better for hip joint capsule vs. ITB

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10
Q

ITBS: treatment strategies

A
  • activity modification
  • address faulty mechanics
  • stretching/strengthening exercises
  • ice massage
  • NSAIDs
  • footwear
  • lumbar spine
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11
Q

myositis ossificans: development of bone in a muscle as a result of

A
  • trauma

- may also be chronic in nature

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12
Q

myositis ossificans: type of trauma that typically causes

A

usually a contusion with a hematoma 2-4 weeks prior

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13
Q

myositis ossificans: s/s

A
  • pain on palpation and with muscle movement
  • noncapsular pattern
  • ecchymosis may or may not be present
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14
Q

myositis ossificans: diagnosis made by

A
  • radiographs

- US

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15
Q

myositis ossificans: treatment

A
  • ice
  • NSAIDs
  • stretching
  • surgery if conservative tx fails (watch for dec ROM and inc pain)
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16
Q

muscle strains: most common types in the hip

A
  • HS
  • rectus femoris strain/contusion
  • adductor longus
17
Q

muscle strains: where does RF strain/contusion typically occur within the muscle?

A

mid-upper 1/3

18
Q

muscle strains: need to rule this out, especially in repetitive strains

A

neural irritability

19
Q

muscle strains: pain with…

A
  • contraction
  • stretching
  • palpation
20
Q

muscle strains: treatment

A
  • modalities PRN
  • relative rest
  • appropriate stretching and strengthening
21
Q

hip stress fx: typically found where?

A
  • proximal ⅓ of the femur
  • femoral neck
  • pubic ramus
22
Q

hip stress fx: pain pattern

A
  • immediate onset of pain on WB

- stops once WB is discontinued

23
Q

hip stress fx: clinical examination

A

often completely negative

24
Q

hip stress fx: clinical examination

symptoms often reproduced with what

A

SL hop

25
Q

hip stress fx: symptoms may be reproduced with this test

A

fulcrum test

26
Q

hip stress fx: dx can be confirmed via (imaging)

A

bone scan

MRI

27
Q

hip stress fx: if impact related, what should be reduced or eliminated

A

loaded activity - until the fx has healed

28
Q

hip stress fx: condition is best treated by addressing both

A

cause and effect

29
Q

hip stress fx: medical and pharmacological management should be administered to address any underlying condition such as

A
  • OP
  • osteomalacia
  • malignancy
  • metastasis
30
Q

groin pain: common causes

A
  • sports hernia
  • adductor dysfunction
  • athletic pubalgia
  • osteitis pubis
31
Q

groin pain often occurs in these types of athletic movements

A
  • quick acceleration
  • rapid changes in direction
  • kicking
  • frequent side to side motion
  • twisting at the waist
32
Q

groin pain: pain in inguinal region may radiate where?

A

adductors or scrotum/testicles

33
Q

groin pain: ttp where?

A
  • pubic tubercle
  • pubic symphysis
  • lower rectus abdominus
  • external ring of inguinal canal
34
Q

groin pain: can also be referral from where?

A
  • lumbar spine
  • SIJ
  • bowel/bladder issues
  • obturator nerve
    etc
35
Q

groin pain exam: testing for rectus tendinopathy and/or sports hernia with what tests?

A
  • resisted sit up/abdominal flexion

- resisted double hip adduction

36
Q

groin pain exam: test for tendinopathy

A
  • selective tissue tension testing

- specific muscle stretching

37
Q

groin pain exam: test for pelvic ring dysfunction

A

ASLR

38
Q

groin pain exam: test for labral and intra-articular pathology

A

hip scour

OPTIM OCS: LQ (43 decks)

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