Hip Exam Flashcards
4 main symptoms of hip disease?
- pain (localized to groin or medial thigh)
- stiffness
- deformity
- limp
What is the first motion to be lost with degenerative disease of hip?
EXTERNAL rotation of hip
What are the most common conditions affecting the hip?
- osteoarthritis
- gluteus medius bursitis
- trochanteric bursitis
- fractures of femur
lateral hip pain aggravated by DIRECT pressure is usually associated with?
Trochanteric Bursitis
Progressive lateral hip pain with direct pressure or weight bearing is associated with?
intraarticular injury or femur fracture
What is the cause of meralgia paresthetica?
entrapment of lateral femoral cutaneous nerve
sxs: numbness, sxs in anterolateral thigh
What is radiculopathy?
problem with nerve and its function
Pt presents with pain radiating down the leg and into the foot , involving the L4-L5. What is the dx?
Lumbar radiculopathy
What are extra-articular causes of hip pain?
lower abdominal pathology
inguinal hernia
lumbar spinal nerve root pain
What is the lease common pain pattern affecting the hip?
a. posterior hip pain
b. lower anterior hip thigh pain
c. anterior hip pain
a. Posterior hip (gluteus) pain
Examination of hip should include (few things)?
- gait issues
- tolerance of squatting
- general ability to move in the room
- ROM
- Palpation
How to identify for referred pain to the hip via lumbar spinal nerves?
straight leg raise
How to identify for referred pain to the hip via sacroiliac joint?
palpation of joint
How to identify for referred pain to the hip via Lateral femoral cutaneous N?
sensation in upper outer thigh
How to identify for referred pain to the hip via lower abdominal vascular structures?
lower extremity pulse
A patient shifts the torso over the affected hip to reduce load on the hip and decrease pain…. What type of gait is this?
Trendelenburg gait (torso shift)
Trendelenburg gait indicates?
hip joint disease OR weakness of gluteus medius muscle
Pt spends shorter time weight bearing on the affected side do to pain. What type of gait is this?
Antalgic Gait
Pt with significant difference in leg lengths and walk slightly unbalanced with arms out. What gait is this?
Short leg limp
How to inspect for pelvic obliquity?
hands placed on iliac crest and estimate level of pelvis
Pt presents with asymmetry of iliac crests. What are possible causes?
- scoliosis
- pelvic fracture
- leg length discrepancy
Fabere test allows us to differentiate between what two pathologies?
hip and sacroiliac joint pathologies
What motions must the examiner perform on patient to assess the affected leg using Fabere Test?
- Flex
- ABduct
- Externally Rotate
- Extend
What is negative test for Fabere test?
test leg falls atleast parallel to opposite leg
What is postitive test for Fabere test?
affected leg remains above opposite leg
Pain with maneuver in the abscence of pain with PASSIVE hip joint mover indicates….?
SACROILIAC joint pathology
No pain at 90 degrees for straight leg raise indicates?
mechanical cause of back pain
Pain in the back with 30-90 or 30-60 degrees is a positive straight leg raise which indicates?
consistent with lumbar disc isssue
Straight leg raise is used to assess for?
impingement of a nerve root from a herniated disc
