Hip: Examination 2 Flashcards
To assess for acetabular labral involvement (hip impingement), perform these tests
- modified circumduction/Scour test
- FADDIR
- FABER
These can indicate arthritis
groin and possible anterior thigh pain during ADLs
Groin and possible anterior thigh pain in ADLs such as (activities) may indicate arthritis
- sitting
- walking
- ascending stairs
PROM limits in the clinical exam suggest a
capsular pattern
PROM limits in the clinical exam suggest a capsular pattern, where (motion) limits are the greatest compared to others
internal rotation
Specific definition of the hip capsular pattern is not as consistent as with other joints. What is the implication?
- must be interpreted more cautiously
- hip IR is most limited and painful
- accompanied by a variable combo of limits in flex/ext/abd
Can develop a non-traumatic capsular pattern at the hip in response to a systemic disorder such as
- RA
- gout
- Reiter syndrome
- psoriasis
- ankylosing spondylitis
- Legg-Calve-Perthes disease
When a younger patient presents with non traumatic onset of painful hip capsular pattern, should seek further testing including imaging to observe for (changes) and blood testing to screen for (pathology)
- necrotic changes in the femoral head
- rheumatologic disorders
This may emerge with the onset of transient and/or septic synovitis
non-traumatic capsular pattern
Transient Synovitis is most often seen in this group
males age 4-10
Transient Synovitis is most commonly seen in response to
viral and/or autoimmune response
Transient Synovitis is usually benign, but 15-20% of the patients are at risk for progressing to
Legg-Calve-Perthes disease (LCPD)
Septic synovitis reflects a septic reaction in the joint, best identified through
synovial arthrocentesis
