HIP LAB 5

Question 1

If LBP but negative lumbar ROM
positive hip ROM

Answer 1

joint referral: hip to back

Question 2

If Fortin’s sign, SI stress tests negative
lumbar ROM positive

Answer 2

LUMBAR joint referral

Question 3

If Isch Tub pain, hip and back ROM positive,

Answer 3

hip and lumbar

Question 4

If lumbar and hip pain, which do you treat first

Answer 4

lumbar
treat proximally first

Question 5

When you were a child, do you remember if you were ever braced? Had any surgeries? Any dysplasia happening?

Answer 5

*hip dysplasia = instability

Question 6

what indicates a labral problem?

Answer 6

clicking/popping/locking in same area often with ROM/positioning
*ask if its painful or if its just clicking/popping all the time

DERANGEMENT

Question 7

If pt is older, do you have any stiffness in the morning? Does it get better or worse as you move?
Why is this important?

Answer 7

older = OA
stiffness = OA
better or worse = mechanical

Question 8

Had a recent surgery? Why is this important?

Answer 8

Post-op complications
WB status
contraindications to certain motions

hip precautions/hip approach
usually will be posterolateral-most common/easiest….anterior is hard

Question 9

positive sign of buttock test could indicate…

Answer 9

VERTEBRAL HIP FX

Question 10

When doing systems review for hip and pelvis….

Answer 10

1. visceral
2. gout
3. malignancy/infection
4. pathologic vs stress fx
   TAKE VITALS