HIP PAIN IN ADULTS Flashcards
features of OA
Pain exacerbated by exercise and relieved by rest
Reduction in internal rotation is often the first sign
RF of OA
Age, obesity and previous joint problems are risk factors
Features of inflammatory arthritis
Pain in the morning
Systemic features
Raised inflammatory markers
what causes referred lumbar spine pain?
Pain in the morning
Systemic features
Raised inflammatory markers
what test may be positive in referred lumbar spine pain
Femoral nerve stretch test may be positive
how do you carry out a femoral nerve test?
Extend the hip joint with a straight leg then bend the knee. This stretches the femoral nerve and will cause pain if it is trapped
What causes greater trochanteric pain syndrome (trochanteric buristis)?
Due to repeated movement of the fibroelastic iliotibial band
where is the pain in greater trochanteric pain syndrome/trochanteric bursitis?
Pain and tenderness over the lateral side of thigh
epidemiology of greater trochanteric pain syndrome/trocnhateric bursitis?
women
50-70 years
what is Meralgia paraesthetica caused by?
Caused by compression of lateral cutaneous nerve of thigh
Sx of Meralgia paraesthetica
burning sensation over antero-lateral aspect of thigh
what is the onset of avascular necrosis
gradual or sudden
causes of avascular necrosis
high dose steroid therapy or previous hip fracture of dislocation
when is pubic symphysis dysfunction common
Common in pregnancy
what is pubic symphysis dysfunction
Ligament laxity increases in response to hormonal changes of pregnancy
