The Hip

Question 1

Trochanteric bursitis clinical features

Answer 1

Repetitive trauma to bursa by IT band
Female runners
Lateral hip pain
Worse when lying on that side

Question 2

Trochanteric bursitis specific tests

Answer 2

Tenderness over greater trochanter

Pain and tenderness on resisted abduction

Question 3

Trochanteric bursitis management

Answer 3

Conservative

• NSAID
• stretching/physio
• steroid injection

Surgery
-bursectomy

Question 4

Hip dislocation clinical features

Answer 4

Young patients with high energy trauma 
90% posterior 
Axial load on flexed knee
Acute pain 
Inability to bear wt
Shortened leg with flexion adduction and internal rotation

Question 5

Hip dislocation investigation

Answer 5

X Ray AP pelvis

CT if traumatic

Question 6

Hip dislocation management

Answer 6

Conservative

• acute anterior and posterior dislocations-> re locate
• not if #

Surgery

• open reduction
• ORIF