hip ortho

Question 1

orthos: hip osteoarthritis

Answer 1

1. ROM:
   - ltd hip flexion (lat hip pain);
   - hip ext causes pain;
   - ltd IR (<25 deg);
   - squatting ltd & painful;
   - Scour + add –> lateral hip or groin pain
2. Scour test
3. Long axis distraction
4. log roll test

Question 2

Femoral acetabular impingement orthos

Answer 2

FADIR

Question 3

Acetabular Labral tear orthos

Answer 3

1. FABER test
2. Third test
3. Scour test
4. FADIR
5. Resisted SLR
6. Anterior labral test (FABER -> FADIR)
7. Posterior labral test (FADIR -> FABER)
8. Log roll test
9. Long axis distraction

Question 4

Snapping hip / muscle tightness asst

Answer 4

1. SLR
2. Bent knee stretch test (proximal hamstrings) 90 90
3. Modified thomas
4. Fair test (piriformis)
5. Bicycle test
6. Active iliopsoas snapping test
7. 30 sec leg stance
8. Ober / Modified Ober

Question 5

gluteal tendinopathy orthos

Answer 5

1. FABER test
2. 30 s leg stance
3. Resisted External rotation
4. Ober / modified ober
5. hip lag sign:leg abd & IR; +ve if drops >10cm
6. FADER-R

Question 6

clinical prediction rule for hip osteoarthritis

Answer 6

1. limited active hip flexion with lateral hip pain
2. active hip extension causes pain
3. limited passive hip internal rotation (25 deg or less)
4. sqatting limited and painful
5. scour test with adduction causes lateral hip or groin pain

4/5 = +ve

Question 7

tests for intra-articular lesion?

Answer 7

Tests for intra-articular lesion
1. FABER
2. Scour
3. Third
4. Resisted straight leg raise

Question 8

what should you assess for when labral tear pathology is present?

Answer 8

potential impingement, capsular laxity, articular cartilage degeneration
- hip ROM
- general laxity (Beighton’s scale)
- impingement FADIR
- posterior labral tear (inside out)
- log roll test
- long axis distraction

Question 9

Anterior labral tear test

Answer 9

Patient supine.
Affected leg flexion, ext rot & slightly abd. (FABER) Bring leg into int rotn, add & slowly extend. (FADIR)

+ve: symptoms repro +/- click or anterior groin pain

Question 10

posterior labral tear test

Answer 10

Patient supine. Affected hip flex, int rot & slightly add (FADDIR).
Bring leg into ext rotn, abd and slowly extend .
+ve: patient’s symptoms repro +/- click or anterior groin pain