Hip Soft Tissue Disorder (2)

Question 1

Hip bursitis

Answer 1

Ischial- direct trauma or movement in sitting position

Iliopectineal- anterior hip pain

Question 2

Greater trochanteric pain syndrome

Answer 2

Mimics L5 condition

Usually 40-60 year olds

2/3 have OA or LBP

Question 3

Who is more prevalent for snapping hip syndrome?

Answer 3

15-40 year old

women>mem

Question 4

What occurs in snapping hip syndrome?

Answer 4

Anterior groin pain with resisted hip flexion

Iliopsoas tendon tender to palpate

Question 5

What occurs in gluteal muscle pain?

Answer 5

Dull lateral hip pain

Weak hip abduction

Question 6

What is the conservative care approach for greater trochanteric pain syndrome?

Answer 6

Stretch Iliopsoas

Strengthen hip abductors

Question 7

What is the conservative care approach for snapping hip syndrome?

Answer 7

Address muscle imbalances (stretch and strengthen)

Question 8

What is the conservative care approach for gluteal muscle pain?

Answer 8

Decrease load

Motor control training

Question 9

What are external causes of snapping hip syndrome?

Answer 9

Posterior iliotibial band

Anterior gluteus Maximus

Trochanteric bursitis

Question 10

What are internal causes of snapping hip syndrome?

Answer 10

Iliopsoas tendon snapping

Iliofemoral ligament snapping

Hamstring syndrome

Ilipsoas capsular thickening

Question 11

What are Intra-articular causes of snapping hip syndrome?

Answer 11

Labral tears

Loose bodies

Capsular instability

Displaced fractures

Synovial chondromatosis

Question 12

What is the main treatment for snapping hip syndrome?

Answer 12

Arthroscopic release (80%)

Question 13

What is the imaging in snapping hip syndrome?

Answer 13

Ultrasoudn

Question 14

Which muscles of the hip are analogous to rotator cuff muscles of shoulder?

Answer 14

Gluteal tendons

Question 15

Obturator nerve (L2-4)

Answer 15

Through psoas into obturator foramen

Question 16

Femoral nerve (L2-4)

Answer 16

Exits lateral psoas and courses inferior between psoas and iliacus

Question 17

Lateral femoral cutaneous nerve (L2-4)

Answer 17

Emerges from lateral border of psoas major, passes under inguinal ligament and then goes over Sartorius

Question 18

How can the Piriformis nerve be injured?

Answer 18

Piriformis hypertrophy

Spasm or muscular fibrosis following trauma

Prolonged compression

Question 19

How can the obturator nerve be injured?

Answer 19

Pregnancy

Trauma

Hip surgery

Question 20

How can the femoral nerve be injured?

Answer 20

Trauma

Tumors

Surgery

Question 21

How can the lateral femoral cutaneous nerve be injured?

Answer 21

Obesity

Tight belts

Repetitive hip flexion

Question 22

How does a hamstring strain occur?

Answer 22

Quick explosive contraction (non traumatic)

Question 23

Grade 1 hamstring injury

Answer 23

No time lost

Question 24

Grade 2 hamstring injury

Answer 24

5-12 days

Question 25

Grade 3 hamstring injury

Answer 25

3-12 weeks

Question 26

What is a quadriceps strain?

Answer 26

Indirect trauma (pulled muscle)

Question 27

Quadriceps contusion

Answer 27

Direct blow

Question 28

Adductor pain

Answer 28

Significant cause of groin pain

Question 29

What is a sports hernia?

Answer 29

Disabling lower ab and inguinal pain

Question 30

Gilmores groin

Answer 30

Tears in the external oblique aponeurosis and conjoint tendon

Question 31

What is osteitis pubis?

Answer 31

Inflammation around pubic symphysis (overuse injury)

Question 32

What’s treatment for a quad contusion/MO?

Answer 32

Immobilize knee Apply ice Passive stretching Avoid heat or NSAIDS(may increase bleeding)

Question 33

What is treatment for hamstring strain?

Answer 33

Pain and swelling control (no NSAIDS) Normalize gait Gentle AROM

Question 34

What is the treatment for nerve entrapment?

Answer 34

Muscle relaxants PT addressing muscle imbalances Imaging and surgery