Hip pain

Question 1

common hip problems are due to:

Answer 1

bone or joint injury

Question 2

in senior pts, the hip/weight bearing joint is commonly affected by:

Answer 2

DJD and fracture

Question 3

hip issues in infants are usually from:

Answer 3

congenital disorders

Question 4

hip issues in adolescents are usually from:

Answer 4

vascular and growth plate problems

Question 5

hip issues in young adults are usually from:

Answer 5

traumatic injuries

Question 6

hip issues in older pts are usually from:

Answer 6

arthritis and fracture

Question 7

hip diagnosis is often dependent on

Answer 7

xrays

Question 8

hip pain may be due to

Answer 8

intrinsic pathology or referred

Question 9

insidious onset of pain in adult/senior could be from

Answer 9

DJD

Question 10

with children, remember that this area could be a common referral sit for hip disorders

Answer 10

knee

Question 11

thigh pain from direct trauma

Answer 11

contusion

Question 12

thigh pain from sudden movement onset

Answer 12

strain

Question 13

anterior thigh numbness, paresthesia, or weakness

Answer 13

femoral nerve involvement

Question 14

lateral thigh sensory complaints

Answer 14

lateral femoral cutaneous nerve

Question 15

posterior thigh neurological complaints

Answer 15

sciatic nerve irritation or lumbar/sacral facet problems

Question 16

femoral head faces forward with relative posterior positioning of greater trochanter

Answer 16

anteversion

Question 17

femoral head faces posterior with anterior positioning of greater trochanter

Answer 17

retroversion

Question 18

hip issues with pediatric/childhood onset

Answer 18

hip dysplasia/congenital hip dislocation

Question 19

hip issues with adolescent/young adult insidious onset

Answer 19

SCFE or AVN

Question 20

hip issues with adolescent/young adult sudden/traumatic onset

Answer 20

SCFE, synovitis, stress fracture

Question 21

hip issues with middle-aged/adult onset

Answer 21

hip pain is unusual in this age

Question 22

hip issues with older age onset

Answer 22

DJD, fractures

Question 23

xrays show narrowing of superior joint space with osteophyte formation, cystic changes, and sclerosis

Answer 23

osteoarthritis

Question 24

xrays show uniform, symmetrical loss of joint space with demineralization, cystic changes, acetabular protrusion

Answer 24

RA

Question 25

xrays show accentuated trabeculation, cortical thickening, brim sign, bone softening changes

Answer 25

Paget's

Question 26

xrays show mottled bone density, crescent sign, flattening deformity, fragmentation

Answer 26

AVN

Question 27

xrays show small or absent epiphysis, flattening, sclerosis, fissuring, fragmentation, mushroom deformity

Answer 27

Legg-Calve-Perthes disease

Question 28

xrays show abnormal Klein's line

Answer 28

SCFE

Question 29

xrays show Putti's triad

Answer 29

developmental dysplasia of the hip

Question 30

xrays show aspherical femoral head, lack of femoral head neck offset, and retroversion of the acetabulum

Answer 30

FAI

Question 31

xrays show increased inclination of the acetabulum

Answer 31

acetabular dysplasia

Question 32

management for fracture, dislocation, SCFE, AVN, infection, tumor, or visceral pathology

Answer 32

medical referral

Question 33

classic presentation is pain, unable to bear weight, and history of fall on hip

Answer 33

hip fracture

Question 34

2 divisions of hip fractures

Answer 34

intra-capsular and extra-capsular

Question 35

type of hip fracture that is twice as common and more likely to result in complications such as necrosis, nonunion, infection, thromboembolic disease

Answer 35

intra-capsular

Question 36

classic presentation is a young and active patient, often participating in activities like long-distance running or gymnastics

Answer 36

stress fracture

Question 37

pain is insidious and worse with weight bearing, pain is often anterior and deep

Answer 37

stress fracture

Question 38

2 types of stress fractures

Answer 38

fatigue and insufficiency

Question 39

most sports related hip dislocations are in this direction

Answer 39

posterior

Question 40

major force applied to a flexed abducted hip

Answer 40

posterior hip dislocation

Question 41

major force to an extended, externally rotated leg

Answer 41

anterior hip dislocation

Question 42

seen in overweight children or rapidly growing adolescents, trauma in 50% of the cases, hormonal influences may play a role, bilateral occurrences common, hip pain with a limp

Answer 42

slipped capital femoral epiphysis

Question 43

mild hip pain and associated limp with insidious onset, young pt may present with knee pain, may have limited hip abduction and internal rotation

Answer 43

avascular necrosis

Question 44

clinical syndrome of painfully limited hip motion, results from certain types of underlying abnormalities in the femoral head/neck or surrounding acetabulum

Answer 44

femoral acetabular impingement (FAI)

Question 45

pt often complains of sharp deep hip pain with squatting running stopping or changing directions, pain is often felt anteriorly

Answer 45

femoral acetabular impingement

Question 46

impingement that is due to acetabular abnormalities which lead to excessive coverage by the anterior acetabular rim, more common in middle aged women, can occur with various disorders

Answer 46

Pincer impingement

Question 47

impingement that is due to abnormalities of the femur with decreased offset between the femoral head and neck, more common in young men

Answer 47

CAM impingement

Question 48

middle aged and elderly pts with hip pain and possibly butt, groin, or knee pain with insidious onset; restricted passive internal rotation and extension, pain may be produced by axial compression, xrays show nonuniform loss of joint space with superior compartment involvement, subchondral cysts, sclerosis, osteophytes

Answer 48

degenerative joint disease

Question 49

classically in females between 25 and 55 with hip pain, soft tissue swelling, stiffness, decreased ROM, usually bilateral, shows pannus on xray

Answer 49

RA

Question 50

Putti's Triad

Answer 50

small/absent proximal femoral epiphysis lateral displacement of femur increased inclination of acetabular roof

Question 51

the acetabular angle using Hilgenreiner's line should be less than this many degrees at birth

Answer 51

28 degrees

Question 52

the line drawn perpendicular to Hilgenreiner's line, and intersects the lateral most aspect of the acetabular roof

Answer 52

Perkin's line

Question 53

SCFE has abnormal __ line

Answer 53

Klein's line

Question 54

AVN disease in a young patient

Answer 54

Legg-Calve-Perthes disease