Hip Exam, Eval, Interventions

Question 1

which hip joint dysfunction is suspected in 2-8 yo?

Answer 1

AVN (Legg Perthes)

Question 2

which hip joint dysfunction is suspected in 10-14 yo?

Answer 2

SCFE
OCD

Question 3

which hip joint dysfunction is suspected in 14-25 yo?

Answer 3

stress fx
synovitis
FAI

Question 4

which hip joint dysfunction is suspected in females 50+?

Answer 4

glute med tendinopathy or tear

Question 5

how is the hip displaced in congenital hip dysplasia?

Answer 5

upward and lateral

Question 6

appearance of limb with congenital hip dysplasia?

Answer 6

short, flexed, abducted

Question 7

special tests for congenital hip dysplasia

Answer 7

Galeazzi’s sign
Ortolani’s sign

Question 8

age for Legg-Calve-Perthes

Answer 8

2-13

Question 9

appearance of Legg-Calve-Perthes

Answer 9

short limb
higher greater troch
quad atrophy
adductor spasm

Question 10

age for SCFE

Answer 10

male 10-17
female 8-15

Question 11

appearance of SCFE

Answer 11

short limb
usually obese
quad atrophy
adductor spasm
pain in extreme motion
hip abducted and ER

Question 12

what is suspected: antalgic gait after activity (child)

Answer 12

Legg-Calve-Perthes

Question 13

what is suspected: antalgic gait acutely, Trendelenburg sign and ER chronically

Answer 13

SCFE

Question 14

which hip dysfunction is urgent and should immediately make the pt NWB?

Answer 14

SCFE

Question 15

which hip dysfunction requires surgery?

Answer 15

SCFE

Question 16

what is suspected:
30-50 yo
flattened femoral head

Answer 16

avascular necrosis

Question 17

list Altman’s clinical criteria for hip OA

Answer 17

hip pain
IR <15 deg
pain in IR
morning stiffness up to 60 mins
age >50 yo

Question 18

list Sutlive CPR for hip OA

Answer 18

• self-reported squatting aggravates
• Scour test with adduction causes groin or lateral hip pain
• active hip flexion causes lateral pain
• active hip extension causes hip pain
• passive hip IR </= 25 deg
  3/5 = 68%; 4/5 = 91% probability

Question 19

A evidence for hip OA CPR

Answer 19

risk factors
diagnosis/classification
outcome measure
activity limits & participation restrictions

Question 20

B evidence for hip OA CPR

Answer 20

pathoanatomical features
patient education
manual therapy
flexibility, strength, endurance testing

Question 21

C evidence for hip OA CPR

Answer 21

functional gait and balance training

Question 22

E evidence for hip OA CPR

Answer 22

differential diagnosis

Question 23

which tests rule out labral tears

Answer 23

Scour
FABER
Fitzgerald’s
FABIR

Question 24

which test rules out SIJ pain

Answer 24

SIJ provocation tests

Question 25

which test rules out L2-3 radiculopathy

Answer 25

femoral nerve stretch

Question 26

what should always be ruled out with muscle strains?

Answer 26

neural irritability

Question 27

what is suspected: decreased ROM trauma hematoma

Answer 27

myositis ossificans (quads)

Question 28

MOI for ITB syndrome

Answer 28

gradual, overuse

Question 29

test for ITB syndrome

Answer 29

Ober's

Question 30

which nerve is disturbed with meralgia paresthesia?

Answer 30

lateral femoral cutaneous nerve

Question 31

if reaching down to tie shoes causes pain, ____ is most likely

Answer 31

OA

Question 32

aggravating factors for glute med tendinopathy/tear

Answer 32

stairs, SLS, sleeping on side

Question 33

cluster test for glute med tendinopathy/tear

Answer 33

FABER external de-rotation test adduction + external de-rotation test palpation of glute med stand on effected leg in SLS

Question 34

glute med tendinopathy/tear must have pain that is _____ & ______

Answer 34

localized and load dependent!!

Question 35

T/F: diffuse pain with low load indicate tendinosis

Answer 35

F!!!!

Question 36

in which stages of recovery for glute med tendinopathy/tear is the pt NWB?

Answer 36

stage 1-2

Question 37

acetabular labral pathologies are common in HIGHLY active people aged _____

Answer 37

20-40 yo

Question 38

hip OA is highly correlated with _____

Answer 38

labral pathology

Question 39

cam vs. pincer impingement

Answer 39

cam - femoral head/neck pincer - acetabular

Question 40

femoral head ____version and coxa ____ are more susceptible to cam impingement

Answer 40

anteversion coxa vara

Question 41

anterio-medial FAI is seen with what positions

Answer 41

flexion and IR passive

Question 42

posterior FAI is seen with what positions

Answer 42

flexion, abduction, ER (fig. 4)

Question 43

femoral neck fx will not be able to passively ___ hip

Answer 43

rotate

Question 44

unique hip subjective questions

Answer 44

h/o LBP h/o hip probs as child or later in life h/o clicking, popping, catching OA related questions (24 hr. pain) surgical info

Question 45

which motions does traction manips restore?

Answer 45

ALL

Question 46

if a hip manip is being done in supine, this is open or closed pack?

Answer 46

open

Question 47

dosage of ROM exercises

Answer 47

high reps (20s)

Question 48

which comes first: mobility or stability?

Answer 48

mobility

Question 49

is open or closed chain exercises easier?

Answer 49

open

Question 50

common findings in young females that lead to FAI

Answer 50

general ligamentous laxity hypomobility in lateral & anterior capsule weakness in hip abductors, ER poor LE control in closed-chain

Question 51

when is the highest risk for injury recurrence of hamstring strain?

Answer 51

1st 2 weeks

Question 52

what type of athletes commonly get hamstring strains?

Answer 52

high-speed skilled movements required