Week 4 - Hip

Question 1

where does hip pathology generally cause pain and why?

Answer 1

groin
may radiate to the knee due to obturator nerve supplying hip and knee
can also cause only knee pain

Question 2

what is usually the first sign of hip pathology?

Answer 2

loss of internal rotation

reduced range of motion

Question 3

how might hip pathology present?

Answer 3

pain - exacerbated by rotational movement
trendelenburg sign in abductor weakness
shortening of limb - severe OA, perthes, SUFE or AVN

Question 4

what else might cause groin pain?

Answer 4

hernia (inguinal or femoral)
tendonitis (esp adductor)
pubic symphysis dysfunction
high lumbar disc prolapse