HIP Not Finjshed Flashcards
GT BURSITIS HAMSTRING STRAIN/TENDINOPATHY LABRAL TEARS PIRFORMIS
What is greater trochanteric pain syndrome?
symptoms of pain over GT of the hip
includes: bursitis, gluteal tendinopathy, ITB pathology
What are the three common GT bursa?
gluteus minimus (above and slightly anterior to proximal and superior GT)
subgluteus medius bursa
subgluteus maximus bursa
What are the most common age groups for trochanteric pain?
mid age women 40s and elderly 60s+
what is cause of pain in lateral hip region? GT pain syndrome
glute med tendon (mainly)
other: subgluteus max bursa
gluteal tendinopathy/atrophy
TFL tendinopathy
trochanteric pain is initially caused by
inflammation
then, tendon goes through oxidative stress/apoptosis
anoxia=stimilates pain receptors
chronic pain then follows with adrenergic involvement
___ rubs over ___ tendon or repetitive microtrauma to muscles cause trochanteric pain
ITB rubs over glute med tendon over time
MOI for GT pain syndrome
trauma: hip hyperadduction, fall/blow to lateral hip
more common MOI: overuse
contributing factors to GT pain
bad mechanics
prolonged sit/standing
lumbar/SI pathology
Leg length discrepancy
weak multifidus/transverse abs
tight hip flexors, adductors, hams
patient has pain over posterior lateral hip, butt, lateral thigh. What could they have?
GT pain syndrome
what makes GT pain worse?
sidelying, standing, crossing legs, stairs/uphill walking
hip ext rotation, abduction
running, jumping
(anything using glutes a lot)
what makes GT pain better?
rest
NSAIDs
supine
lying on opp side with pillow between knees
surgery for GT pain syndrome
steroid injections
bursal sac/calcification excision
ITB release
tendon anchor repair
trochanteric reduction osteotomy
STM of what muscle could help with GT pain syndrome?
ITB
what exercises could help promote adequate hip ROM, pelvic stability, and strength?
eccentric glute exercises
other important stabilizers: trunk/pelvic stabilizers
injury prevention for GT pain
*modified running
*athletic footwear
*correct LLD
(trunk, hip strength, glutes important)
hamstring tendinopathy
acute: microtear, inflammation
chronic: degeneration
hamstring strains (review grade I, II, III)
grade I: pain, no ROM/strength loss
grade II: tissue damage
grade III: complete disruption, hematoma, complete strength/function loss
what are the most commonly strained muscles?
hamstrings *biceps femoris most common
strains happen at ____junction, tendon injuries occur at ______
strains: musculotendinous junction along entire length of hamstring
tendon: proximal, close to isch tub insertion
hamstring strains are due to
eccentric load/indirect injury (noncontact usually)
hamstring tendon injuries are due to
repetitive loading (blood supply to tendon is poor=poor healing=tendinopathy/tendinosis
hamstring strain can cause pain anywhere in muscle while tendinopathy will usually present as
glute pain with point tenderness (near insertion) but occasionally in muscle
hamstring injury signs/symptoms
pop/tear
tenderness with PROM and palpation
post thigh pain, worse with RROM knee flexion
what aggravates hamstring injuries?
anything eccentric
decelerating knee extension
to rehab hamstring injury, what should you focus on?
stability (abs, back, pelvis, glutes) correct biomechanics, flexibility
***eccentric ham strength and flexibility
labral tears are defined as
tear of cartilage lining acetabulum
*connected to hip pathologies
