Hip: Examination 1 Flashcards
Pain quality: patients often complain of ACHING pain with which diagnoses?
- bursitis
- tendinopathy
- arthritis
- arthrosis
Pain quality: SHARP pain is more frequently associated with (pathologies)
- labral tears
- articular loose bodies
Pain quality: SHARP pain is more frequently accompanied by (symptoms)
- clicking
- giving way
- feeling of joint catching or locking
Pain quality: burning pain is more frequently related to nerve entrapments from (nerves)
- femoral
- lateral femoral cutaneous
- ilioinguinal
- genitofemoral
- obturator
- sciatic
Pain quality: potential causes for buttock pain
- SIJ
- gluteal bursitis
- HS tendinopathy
- lumbar spine pathology
- lumbosacral nerve roots (sciatica)
Pain quality: potential causes for posterolateral hip pain, especially in the region of the greater trochanter
- trochanteric bursitis
- gluteal insertion tendinopathy
- component loosening in pts with THA
Pain quality: posterior hip or buttock pain can be caused by lumbar spine referral along with potential contribution from (SC)
dorsal ramus of segmental nerves
Increased GROIN pain with coughing, sneezing, or straining can suggest…
- hernia
- pubic symphyseal affliction
- adductor longus tendinopathy
- rectus abdominis tendinopathy
Groin pain that is increased by sitting could be associated with a lesion of
superior/anterior acetabular labrum
Buttock pain increased with sitting could be related to
- ischial bursitis
- HS syndrome
- gluteal bursitis
- lumbar disc pathology
Observation: Visible swelling in the groin region suggests
- inguinal hernia
- lymphangitis
- other serious pathology
Observed atrophy of gluteal muscles may suggest involvement of these nerve roots
S1 and/or S2
Nodular formations over the sacrum are common and suggest
clinically benign lipomas
Lumbar spine can be screened with active and repeated movements in standing (which)
- flexion
- extension
- lateral flexion
- rotation
- side gliding
If hip related symptoms reproduced with lumbar movement, should focus exam on
lumbar spine
Along with lumbar movement screening, you should also include these tests
- slump with distal initiation (SDI)
- SLR with distal initiation (SLR)
Laslett cluster: how many SIJ provocation tests highly suggestive of SIJ involvement?
3 or more
How is the active SLR used as part of SIJ screening?
evaluates possible role of pelvic ring instability
Active SLR: (+) test
pt feels weakness and/or pain that limits ability to adequately complete the maneuver
If the active SLR test is positive, what should be done next
repeat test while compressing lateral/posterior to B ASIS
Active SLR: repeat test with compression
What should you expect with pelvic ring instability?
- pain and weakness subsides
- able to perform the maneuver
