LE Diagnostic Manual - MCD of Hip

Question 1

outcome measures associated with nonarthritic hip jt pain

Answer 1

international hip outcome tool (iHOT)
copenhagen hip and groin outcome score (HAGOS)
hip outcome score (HOS)

Question 2

what are the movement coordination deficits of the hip

Answer 2

nonarthritic hip jt pain

Question 3

explain nonarthritic hip joint pain

Answer 3

collection of conditions that involve intra-articular structures of hip

Question 4

what conditions are under the umbrella of nonarthritic hip joint pain

Answer 4

– femoroacetabular impingement syndrome (FAIS)
– developmental dysplasia of hip (DDH)
– hip instability
– acetabular labral tears
– osteochondral lesions
– loose bodies
– ligamentum teres tears

Question 5

what is femoroacetabular impingement syndrome precipitated by

Answer 5

abnormal bone growth in one or more hip bones that will lead to pinching of the labrum / damage of cartilage

Question 6

what are the three types of lesions associated with FAI

Answer 6

CAM
pincer
- combination of CAM and Pincer

Question 7

common subjective findings associated with nonarthritic hip jt pain

Answer 7

anterior groin pain, lateral hip pain, and/or generalized hip jt pain

popping, locking, snapping of the hip

pain with high load (running, kicking)
pain with deep flexion (squatting)

Question 8

range of motion finding associated with nonarthritic hip jt pain

Answer 8

Hip IR <20 degrees with hip in 90 deg flexion
hip flexion / hip abduction limited
popping, locking or snapping may be present

Question 9

muscle performance finding associated with nonarthritic hip jt pain

Answer 9

may not be affected, but weakness of hip muscles are commonly found

Question 10

palpation finding associated with nonarthritic hip jt pain

Answer 10

inability to palpate intrarticular structures, but palpation of muscles can reveal tone/pain

Question 11

joint mobility finding associated with nonarthritic hip jt pain

Answer 11

hypomobility of joint in specific or global direction

Question 12

special tests associated with nonarthritic hip jt pain

Answer 12

FADIR
FABER

Question 13

explain multimodal intervention in relation to nonarthritic hip jt pain

Answer 13

activity modification
exercise specific to strengthening weak muscles of hip
manual therapy
postural/movement correction
stretching/balance exercise

Question 14

what hip muscles need to be focused on for strengthening

Answer 14

iliopsoas
glute med
glute max
hip IR/ERs

Question 15

explain movement pattern training in relation to nonarthritic hip jt pain

Answer 15

optimization of LE movement patterns during activities of daily living that limit the patient

Question 16

explain therapeutic exercise in relation to nonarthritic hip jt pain

Answer 16

addresses joint mobility
muscle flexibility
muscle strength deficits

Question 17

what interventions have weak evidence for nonarthritic jt pain

Answer 17

neuromuscular re-education
manual therapy
bracing

Question 18

medical interventions associated with nonarthritic hip jt pain

Answer 18

hip arthroscopy
labral repair

Question 19

protection phase hip labral repair key points

Answer 19

limitations of hip motion for 10-14 days
hip flexion - limited to 90
hip abduction - limited to 25
hip extension - limited to 10

Question 20

protection phase ORIF key points

Answer 20

protect site of surgery
- keep eye out for surgical failure

— (pain in unaffected leg immediately after surgery and improper gait that does not improve)

Question 21

protection phase THA key points

Answer 21

POSTERIOR:
no hip flexion >90 deg
no adduction past midline
no hip IR

ANTERIOR:
no hip extension
no ER
avoid crossing legs / sleeping on surgical side