Hip: Examination 1

Question 1

Pain quality: patients often complain of ACHING pain with which diagnoses?

Answer 1

• bursitis
• tendinopathy
• arthritis
• arthrosis

Question 2

Pain quality: SHARP pain is more frequently associated with (pathologies)

Answer 2

• labral tears

- articular loose bodies

Question 3

Pain quality: SHARP pain is more frequently accompanied by (symptoms)

Answer 3

• clicking
• giving way
• feeling of joint catching or locking

Question 4

Pain quality: burning pain is more frequently related to nerve entrapments from (nerves)

Answer 4

• femoral
• lateral femoral cutaneous
• ilioinguinal
• genitofemoral
• obturator
• sciatic

Question 5

Pain quality: potential causes for buttock pain

Answer 5

• SIJ
• gluteal bursitis
• HS tendinopathy
• lumbar spine pathology
• lumbosacral nerve roots (sciatica)

Question 6

Pain quality: potential causes for posterolateral hip pain, especially in the region of the greater trochanter

Answer 6

• trochanteric bursitis
• gluteal insertion tendinopathy
• component loosening in pts with THA

Question 7

Pain quality: posterior hip or buttock pain can be caused by lumbar spine referral along with potential contribution from (SC)

Answer 7

dorsal ramus of segmental nerves

Question 8

Increased GROIN pain with coughing, sneezing, or straining can suggest…

Answer 8

• hernia
• pubic symphyseal affliction
• adductor longus tendinopathy
• rectus abdominis tendinopathy

Question 9

Groin pain that is increased by sitting could be associated with a lesion of

Answer 9

superior/anterior acetabular labrum

Question 10

Buttock pain increased with sitting could be related to

Answer 10

• ischial bursitis
• HS syndrome
• gluteal bursitis
• lumbar disc pathology

Question 11

Observation: Visible swelling in the groin region suggests

Answer 11

• inguinal hernia
• lymphangitis
• other serious pathology

Question 12

Observed atrophy of gluteal muscles may suggest involvement of these nerve roots

Answer 12

S1 and/or S2

Question 13

Nodular formations over the sacrum are common and suggest

Answer 13

clinically benign lipomas

Question 14

Lumbar spine can be screened with active and repeated movements in standing (which)

Answer 14

• flexion
• extension
• lateral flexion
• rotation
• side gliding

Question 15

If hip related symptoms reproduced with lumbar movement, should focus exam on

Answer 15

lumbar spine

Question 16

Along with lumbar movement screening, you should also include these tests

Answer 16

• slump with distal initiation (SDI)

- SLR with distal initiation (SLR)

Question 17

Laslett cluster: how many SIJ provocation tests highly suggestive of SIJ involvement?

Answer 17

3 or more

Question 18

How is the active SLR used as part of SIJ screening?

Answer 18

evaluates possible role of pelvic ring instability

Question 19

Active SLR: (+) test

Answer 19

pt feels weakness and/or pain that limits ability to adequately complete the maneuver

Question 20

If the active SLR test is positive, what should be done next

Answer 20

repeat test while compressing lateral/posterior to B ASIS

Question 21

Active SLR: repeat test with compression

What should you expect with pelvic ring instability?

Answer 21

• pain and weakness subsides

- able to perform the maneuver