Hip- related

Question 1

Common causes

Answer 1

• Hip joint- synovitis, labral tear, chrondral lesion
• FAI
• osteoarthritis

Question 2

Less common

Answer 2

• Trochanteric bursitis
• Stress fx
• Snapping hip
• Avulsion apophysitis/fracture

Question 3

Beware of

Answer 3

• Slipped capital femoral epiphysis

- Perthes disease

Question 4

Objective

Answer 4

• Posture/alignment
• Observation of structures
• Leg length
• ROM- A/P/R

Question 5

Testing

Answer 5

• Clear Lumbar spine/SIJ
• Ligament
• Neurological
• Joint specific
• Functional

Question 6

Subjective P/C

Location of Symptoms

Answer 6

Location of symptoms:

• Deep- hip jt, referred from LSP or SIJ
• Pubic region- adductor or symphysis pubis
• Anterior- hip flexor or lower abdominal
• Posterior aspect of greater trochanter- trochanteric bursitis

Question 7

History of P/C

Answer 7

Onset- acute/chronic
–Changes in training-surface/intensity/frequency
Mechanism of injury
–Contusion, strain, gradual onset?

Question 8

Observation

Answer 8

Posture

• Hip, Sij in standing/walking/supine
• Angles of inclination of femur
• Inspection of adductors, hip flexors, iliac crest, posterior musculature
• Leg length

Question 9

ROM

Answer 9

FLEXION -Supine - A/P/R
ABDUCTION/ADDUCTION -Supine/side-lying- A/P/R
EXTENSION- Thomas Test Position
MEDIAL AND LATERAL ROTATION- sitting

Question 10

Palpation

Answer 10

Medial

• Adductor longus
• Adductor magnus
• Adductor brevis

Anterior

• Pubic bone
• ASIS
• Sartorius
• Rec Fem

Lateral
-Glut med
IT band
-Greater trochanter and trochanteric bursa

Posterior

• SIJ
• PSIS
• Glut max
• Ischial tuberosity
• Hamstrings
• Sciatic nerve

Question 11

Angle of torsion

Answer 11

Poasitive

• <15 degrees- retroversion
• > 15 degrees- anteversion

Question 12

Special Tests

Answer 12

Craig's Test
Femoral Nerve Stretch
Femoral Slump Test
Thomas Test
Thomas Test with neural component
Modified Ober's Test
Nobel's Test
FABERs
FADIR
FAIR Test - Piriformis
Trendelenberg Test