Hip Pathologies Flashcards
What are the sources of articular hip & groin pain?
- Osteoarthritis
- Femoro-acetabular impingement (FAI)
- Labral tear
- Post operative
- Hip dysplasia
- Ligamentum teres tears
- Chondral lesions
What are the sources of extra-articular hip & groin pain?
- Adductor related groin pain
- Hip flexor related groin pain
- Gluteus medius tendinopathy
- Rectus abdominis strain
- Pubic groin pain (osteitis pubis)
- Snapping hip syndrome
- Athletic pubalgia (sports hernia)
What are the sources of referred hip & groin pain?
- Lumber spine & SIJ
- Lower abdominal (gastrointestinal)
- Pelvis (genitourinary)
- Abdominal muscle strains
What are the sources of rare hip & groin pain?
- Stress fracture neck of femur
- Avascular necrosis head of femur
- Metastasis/tumour
What are some common pathologies of the hip?
- Osteoarthritis
- Femoro-acetabular impingement
- Labral tears
- Greater trochanteric pain syndrome
- Deep gluteal pain syndrome
- Lumbar spine referred pain
- Other tendinopathies – hamstring and illiopsoas
What pathology of the hip does anterior pain indicate?
- Osteoarthritis
- Femoro-acetabular impingement (FAI)
- Labral tear
- Illiopsoas tendinopathy/bursitis
What pathology of the hip does lateral pain indicate?
- Greater Trochanteric Pain Syndrome (GTPS)
- Gluteal tendinopathy
- Osteoarthritis
- Lumber referral
What pathology of the hip does posterior pain indicate?
- Osteoarthritis
- Lumber referral
- SIJ referral
- Deep gluteal pain syndrome
- Hamstring tendinopathy
True or False…
The hip can refer to the lateral knee.
True
What is suggested if hip osteoarthritic morning stiffness lasts longer than 30mins?
Suggest Ankylosing Spondylitis or other Rheumatological conditions
What does restriction of internal rotation ROM of the hip affect?
SIJ & lumbar spine mechanics - creating a mixed symptom presentation
What must be avoided 6/52 post anterolateral incision at the hip?
– Excessive extension
- External rotation
- Adduction
OR
- Combination of all three.
What must be avoided 6/52 post true lateral incision at the hip?
- Excessive extension
- External rotation
- Adduction
OR - Combination of all three.
What are the (3) types of incision sites for the hip?
- Anterolateral (TFL and glutei)
- Posterolateral ( through posterior capsule)
- True lateral (the Charnely approach the greater trochanter is excised and reattached with wire fixation)
What must be avoided 6/52 post posterolateral incision at the hip?
- Excessive extension
- External rotation
- Adduction
OR - Combination of all three.
