Hip Pain in Older Adults Flashcards
What are the common causes of hip pain in older people?
- Hip OA
- Lower back pain/SIJ
- Greater trochanteric pain syndrome
What are the common signs and symptoms of hip OA?
- > 50 years old
- Morning stiffness <60 min
- Reduced ROM (typically internal rotation <15 degrees, flexion <90 degrees, +/- extension
- Groin pain with internal rotation
X-ray findings for OA
Loss of joint space Osteophytes Sclerosis Erosion Loss of spherical shape
How does gait alter biomechanically with GTPS?
Increased hip adduction moment and range
What are possible intra-articular diagnoses of the hip?
- OA/dysplasia
- Chondral surface damage
- Labral tear
- Ligamentum teres injury
- FAI
- Synovitis
- Loose bodies
- Capsular laxity
- Capsulitis
- Avascular necrosis
What is the sensitivity of the FADIR test for diagnosing intra-articular pathology?
99%
What are common signs and symptoms of an intra-articular hip pathology?
- Limp
- Groin pain
- Decreased internal rotation
List possible extra-articular differential diagnoses
- Insufficiency or stress fracture
- LSp/SIJ
- Impingement
- Osteitis pubis
- Hernia
- Nerve compression
What is the sensitivity and specificity of the single leg squat for diagnoses of gluteal tendinopathy?
Sensitivity: 100%
Specificity: 97.3%
What are the signs and symptoms of gluteal tendinopathy?
- Single leg squat 30s
- Positive FABER
- No difficulty with shoes and socks
What amount of force is on the hip?
x 2.5 for every kg of body weight
What additional physio treatment is available for OA of the hip?
- Education
- Weight loss
- SLS use
- Manual therapy
- Postural advice
What are the risk factors for GTPS?
- Poor neuromuscular control
- Adiposity
- Repeated activity
- Reduced strength
Treatment for GTPS
- Medication
- Exercise therapy
- ECSW
- Tape
What are the important treatment components for GTPS?
- Medication
- Exercise therapy
- ECSW
- Tape
