Hip Pathologies

Question 1

What are the 7 of the most common causes of anterior hip pain?

Answer 1

Labral tear
Chondropathy
Osteoarthritis
Synovitis
Ligament teres tear
Hip joint instability (hypermobility or
developmental dysplasia of the hip)
Groin-related pain

Question 2

What is a less common cause of anterior hip pain?

Answer 2

Stress fracture of the neck of femur

Question 3

What is a cause of anterior hip pain that should not be missed, while it is rare? (possible contraindications)

Answer 3

Avascular necrosis of the head of femur
Slipped capital/upper femoral epiphysis
Perthes’ disease
Tumour

Question 4

What is one of the most common causes of lateral hip pain?

Answer 4

Gluteus medius tears and tendinopathy

Question 5

What are 3 causes of lateral hip pain that should not be missed, while it is rare? (possible contraindications)

Answer 5

Fracture of neck of femur
Nerve root compression
Tumour

Question 6

What are the 4 of the most common causes of posterior hip pain?

Answer 6

Posterior labral tear
Posterior chondral lesion
Ligamentum teres tear
Posterior micro-instability secondary to
anterior impingement

Question 7

What are 2 less common cause of posterior hip pain?

Answer 7

Proximal hamstring-related pain
Sciatic nerve entrapment in short posterior
rotators

Question 8

What are causes of posterior hip pain that should not be missed, while it is rare? (possible contraindications)

Answer 8

Nerve root compression

Tumour

Question 9

What is an assessment for Labral tear?

Answer 9

Painful clicking in hip

Question 10

What are 3 assessment tests that can be used for intra-articular pathology
(not specific)?

Answer 10

FABER- Pain
FADIR- Pain
Thomas test- Pain

Question 11

What are 3 assessment tests that can be used for labral tears?

Answer 11

FABER- Pain
FADIR- Pain
Flexion and IR- Pain

Question 12

What are 5 assessment tests that can be used for gluteal tendinopathy?

Answer 12

Trendelenburg- drop NWB pelvis
Resisted hip abduction- pain and weakness
Resisted hip internal rotation- pain and weakness
Resisted hip external de-rotation test- pain
Single leg stance (30 secs)- pain

Question 13

What are 5 assessment findings for hip OA?

Answer 13

Squatting aggravates symptoms
Lateral pain on active hip flexion
FADIR (scour test)
Pain with active hip extension
Passive internal rotation
≤25°

Question 14

What are 2 structural mechanisms for reduced hip flexion range of motion?

Answer 14

Cam and/or pincer impingement

Chondrolabral pathology

Question 15

What are 4 structural mechanisms for reduced hip internal rotation range of
motion?

Answer 15

Acetabular retroversion
Cam and/or pincer impingement
Femoral retroversion
Osteoarthritis changes (osteophytes

Question 16

What are 3 functional mechanisms for reduced hip internal rotation range of
motion?

Answer 16

Reduced strength hip internal rotators
• Tight gluteals and piriformis
• Muscle spasm

Question 17

What are 4 structural mechanisms for increased hip rotation range (external
rotation and/or internal rotation)?

Answer 17

Acetabular anteversion
• Acetabular dysplasia
• Capsular laxity

Question 18

What are 3 mechanims for altered movement patterns?

Answer 18

Reduced muscle strength
• Reduced hip abductor, adductor,
extensor strength, external rotator
strength
Muscle inhibition, disuse atrophy
Reduced performance in single-leg squat,
neuro-motor control and balance
tasks

Question 19

What are 5 main types of groin pain?

Answer 19

Adductor-related groin pain
Iliopsoas-related groin pain
Inguinal-related groin pain
Pubic-related groin pain
Hip-related groin pain