The Hip Flashcards
S&S of Pelvic and Femur Fractures
History!!
Swelling (large amount)
Pain
Sequela
- Neuro damage
- Artery ruptures
- Hip joint disruption
S&S of Osteoarthritis
Anterior groin pain
Stiffness after prolonged rest
Decreased ROM in extension, IR, and flexion
S&S of Bursitis
Very tender to palpation
Location of pain
Pain with AROM and stretching with compressing bursa
S&S of Hip Pointer
Point tender
Generalized pain with many motions due to the number of attachments
Presents with ecchymosis
S&S of Piriformis Syndrome
May have antalgic gait
Stand in ER to slacken glut. med.
AROM SLR and hip ER may cause pain
Weakness in hip ER
Palpable tenderness/trigger point
S&S of Muscle Strains
Ecchymosis, swelling, deformity
Limited ROM
- Pain with contraction and stretching
Tenderness to palpation, possible defect
S&S of Labral Tears of the Hip
Anterior hip pain
Clicking/catching sensation
Tenderness on IR and flexion
S&S of Sports Hernia
Chronic groin pain that worsens with cutting and sprinting
Tenderness at superficial inguinal ring
S&S of Osteitis Pubis
Midline tenderness over pubic symphysis
Pain with abduction or resisted adduction
Pain with striding and pivoting
S&S of Quadriceps Contusions
Significant loss of ROM in knee flexion
Special Tests for Pelvic and Femur Fractures
Sign of the Buttock
Special Tests for Femoracetabular Impingement
Flexion/Addution/IR (FAIR) impingement test
Hip scour test
X-ray
Special Tests for Osteoarthritis
Distraction/Compression
Larbral tear tests
Functional squat
Test cluster 1
- Hip pain + Hip IR < 15º + Flex < 115º = 86%specificity
Test cluster 2
- If hip IR > 15º –> painful hip IR _ >50 years old + AM stiffness <60 minutes
Special Tests for Bursitis
Palpation
Snapping hip test
Special Tests for Piriformis Syndrome
LQS!!
- Rule out lumbar nerve referral
Piriformis test
