Hip Disorders Flashcards by Taylor Magrath

Hip Muscle Strains

Pain to palpation
Pain to eccentric and concentric movements of the muscle

Ease factors: rest

Adductor strain= pain in groin area
Hamstring strain= pain in posterior thigh, can be ischial pain, or buttock pain
Glut Med strain= pain near greater trochanter

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Is Snapping Hip Syndrome Painful at rest?

When is it painful?

No- usually felt with functional activity

Hip flexion, and adduction

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Snapping hip sydrome ( ITB subluxation or ilipsoas syndrome)

Not painful at rest. Painful with hip flexion and adduction

Ease factors: stretching, avoiding provocative movements

Can be caused by the ITB or Glut Max snapping over the greater trochanter
or
Can be caused by iliopsoas snapping over the iliopectineal eminence

More common in F>M
Increased with Varus angle at hip

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Will snapping hip syndrome occur with more of a Varus or Valgus of the hip?

Varus

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Will a bursitis be painful to palpation

Yes

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Where is a greater trochanter bursitis painful

Over lateral hip and may radiate into a C shape of anterior/posterior regions

More common in Women than men
RA increases chances

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Where is a iliopectineal bursitis painful

Anterior hip pain. increasing with hip flexion and extension

Pain can refer into anterior thigh and patellar region

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With any hip bursitis what will increase the symptoms?

What eases bursitis pain?

Walking, lying with pressure over the area and hip adduction

NASAIDS help the pain

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What findings are common with hip bursitis?

Tightness in IT band

Weak Gluts

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Femoral Anterior impingement and Labral Tear

Pain in the anterior superior hip, groin and lateral hip is common

Ease: rest and NWB

History of clicking, popping, buckling, and locking

Overuse, sports with twisting, repetitive running

Hip dysplasia -> anterior impingement

Compression through joint will increase symptoms

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What actions make Anterior impingement and labral tears aggravated

Running and twisting

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Will being NWB make anterior impingement and labral tears feel better?

Yes

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What disorder (s) will have symptoms of clicking, popping, buckling and locking

FAI and Labral tear

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DJD and OA what will the pain be described as

Deep ache and stiffness- increasing with WB

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DJD and OA where is the pain located?

Groin, Greater trochanter, anterior thigh, medial knee pain

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Can DJD and OA have pain down to the medial knee?

Yes

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What disorder (s) will have stiffness in the morning, getting out of bed, walking, stairs, sit to stand

DJD and OA

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Will there be complains with walking and stairs with DJD and OA

Yes

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What helps relieve OA and DJD symptoms

rest, NSAIDs, AROM- Pain decreases with movement

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Causes OA and DJD

Idiopathic
Injury
abnormal body mechanics 
FAI
Overweight
Leg length discrepancy
Family history of OA

Pain decreases with movement

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Piriformis Syndrome what will the symptoms be?

pain or spasm in posterior buttock
shooting or burning pain in buttock down the back of the leg

Eases: with soft tissue massage

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What movements will provoke piriformis syndrome?

walking, crossing legs, prolonged sitting

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What causes piriformis syndrome?

overuse

tight ER of hip

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Avascular Necrosis has pain where?

proximal thigh, buttocks

can radiate to medial knee

Describe the avascular necrosis pain

ache, stiffness

What movements aggravate avascular necrosis

walking, standing, crossing legs Ease: NSAIDs, and rest

What causes avascular necrosis?

trauma steroids alcohol can be congenital Idiopathic: 30-60 males

Slipped Capital Femoral Epiphysis is most common in who?

Males 10-17 Females 8-15 M> F Obesity Rest eases

What movements increased Slipped Capital femoral symptoms

Walking- they will have an antalgic gait

Where will the pain be with slipped capital femoral

pain in hip, lower thigh, anterior thigh, groin vague pain in suprapatelllar region all with no mechanism of injury

Legg- Calve Perthe's is most common in who?

2-13 M>F With no history of trauma

Legg- Calve Perthe's symptoms are made worse with what movements

Walking- antalgic gait Rest: ease

Where is the pain with Legg- Calve Perthe's

Anterior thigh pain and can refer to knee and groin

Where is the limited ROM with Snapping Hip syndrome?

IR, ER and Add of hip

Where is the limited ROM with Greater trochanteric bursitis?

Adduction, flexion, Abduction, ER of Hip

Where is the limited ROM with Iliopectineal Bursitis?

Hip flexion and Extension

Where is the limited ROM with FAI and Labral Tear

Flexion, adduction and IR

Where is the limited ROM with OA and DJD

Capsular pattern | Flexion=Abduction= IR

Where is the limited ROM of Piriformis syndrome

ER, and IR

Where is the limited ROM of Avascular Necrosis

All directions passive and active

Where is the limited ROM of Slipped Capital Femoral Epiphysis

Pain in all extreme motions Limitd IR, ABduction, Flexion ER of hip with Hip Flexion

Where is the limited ROIm of legg calve perthes

Limited Abduction and Extension IR

What special tests to rule in a Muscle Strain

None | Palpation to site of strain and muscle guarding

What Special test to rule in snapping hip syndrome

Can try Greater Trochanter Bursitis test to see if you can get a snapping Will have tenderness to palpation over ITB, Lateral Glut Max, and greater trochanter bursa

What special test for Bursitis?

Greater trochanter bursitis test OBER Will be painful to palpation over greater trochanter or deep flexor region

What special Tests for FAI or Labral Tear

FADDIR SCOUR FABER Can't palpate labrum directly pain with compression of IR and ER through the Joint

What special tests for DJD and OA

Scour- hard or abnormal end feels FABER Pain with compression through joint

What special tests for piriformis syndrome

FADDIR Compression over piriformis muscle will reproduce symptoms

What special tests for avascular necrosis

None

What special tests for Slipped Capital Femoral

None Can see Quad atrophy, Short limb, Adductor spasm

What special tests for legg calve- perthes

none Can see short limb, atrophy of thigh muscles, higher greater trochanter

Femoral Anterior Glide is common in what population

Younger, Dancers, Runners

Femoral anterior glide with medial rotation is common in what population

younger, dancers, runners

Femoral Anterior glide is associated with what diagnosis

FAI, Iliopsoas tendinopathy, Iliopsoas bursitis

Femoral Hypermoblity is associated with what diagnosis

Labral tear, DJD

Femoral Hypomobility is associated with what diagnosis

OA, DJD, adductor strain

Hip extension with knee extension- what is the movement impairment

dominance of the hamstrings over the glut max. typically occurs in athletes

Hip extension and knee extension is associated with what diagnosis

Sciatica, hamstring strain, piriformis syndrome, ischiogluteal bursitis

Hip adduction syndrome associated with what diagnosis

Trochanteric bursits, snapping hip syndrome, sciatica, ITB faciitis