Hip Pain

Question 1

Hip Palpation landmarks

Answer 1

Iliac crest at L4
Anterior Superior Iliac Crest
Greater trochanter
Pubic Tubercle

Question 2

VITAMIN CDE for painful hip

Answer 2

Vascular
Inflammatory
Traumatic
Autoimmune
Metabolic
Iatrogenic/Idiopathic
Neoplasia

Congenital
Degenerative/Drugs
Endocrine

Question 3

FABER test

Answer 3

Flexion
ABduction
External Rotation

For labral tear, loose bodies, chondral lesions, osteoarthritis, femoral acetabular impingement, sacroiliac joint dysfxn, iliopsoas bursitis

Question 4

FADIR test

Answer 4

Flexion
ADduction
Internal Rotation

For labral tear, loose bodies, chondral lesions, femoral acetabular impingement

Question 5

Log roll test

Answer 5

Passive supine leg rotation for piriformis sydrome

Question 6

Straight leg raise

Answer 6

Straight leg raise against resistance

Test for hernia, SCFE, femoral acetabular impingement

Question 7

Ober test

Answer 7

Evaluate tensor fascia lata, gluteus medius and gluteus maximus

Test for external snapping hip, greater trochanteric pain syndrome

Question 8

Thomas Test for hip

Answer 8

Test for flexibility of hip flexors, contralateral leg should rest comfortably on table, if thigh lifts up, it is a tight iliopsoas muscle

Question 9

PACE/FAIR test

Answer 9

Flexion
Adduction
Internal rotation

Hip Test for piriformis syndrome

Question 10

Trochanteric bursitis

Answer 10

Most common cause of lateral hip pain, over greater trochanter

Tendinopathy of the gluteus minimus and medius, also involves inflammation of the bursa

Question 11

Osteonecrosis of the hip

Answer 11

Groin pain, pain with activity, may be asymptomatic for a while

Caused by decreased/poor blood supply, mechanical trauma, longterm steroid use, serious medical conditions, transplantation

Question 12

Legg-Calve-Perthes disease

Answer 12

Idiopathic avascular necrosis of the hip
Kids 3-12, male>female

XR shows osteochondral loose bodies

Question 13

Slipped Capital Femoral Epiphysis

Answer 13

Pain and limitation in movement of limb due to femoral epiphysis that slipped posteriorly

Obese adolescents, limping and impaired internal rotation

Question 14

Femororacetabular impingement

Answer 14

Pain on anterolateral hip/groin due to abnormal contact bw anterior femoral head and acetabular rim

Pain increased with poor sitting

+ C sign, FABER/FADIR

Question 15

Acetabular Labral Tear

Answer 15

Pain on anterior aspect of the hip, post trauma, can hasten osteoarthritis

+ Thomas test

Question 16

Piriformis Syndrome

Answer 16

Entrapment of sciatic nerve resulting in pain on buttock

Question 17

Meralgia Parethetica

Answer 17

Compression of lateral femoral cutaneous nerve as it passes through the inguinal ligament

Calvin Klein Syndrome