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21 Questions

Which of the following is a possible cause of groin pain in hip examination?

Labral tear

Which of the following conditions is characterized by limitation of movement in the hip joint?

Hip arthritis/synovitis

Which of the following is a functional test used in hip examination?

Squat

Which type of fracture is typically a result of high velocity trauma?

Extracapsular

What is the recommended treatment for femoral shaft fractures?

ORIF or cast

In what position does a patient need to be placed to put them at risk for a posterior hip dislocation?

Flexion, adduction, and external rotation

Which muscle is responsible for balancing the pelvis in the frontal plane during single leg stance in 60% of the gait cycle?

Glute Medius

Which muscle is weak when it can result in functional impairment and is responsible for balancing the pelvis in the frontal plane during single leg stance?

Glute Max

Which muscle is responsible for keeping the pelvis stable in the frontal plane during single leg stance?

Glute Medius

Which of the following is a common risk factor for avascular necrosis of the hip?

Cumulative steroid use

Which muscle is most commonly injured in cases of adductor strain?

Adductor Longus

What is the gold standard for diagnosing a gluteus medius tear?

MRI/US

What are the common causes of sciatic nerve entrapment?

All of the above

What are the symptoms of piriformis syndrome?

All of the above

What is the clinical triad associated with hamstring syndrome?

All of the above

What is the recommended treatment for hamstring syndrome?

All of the above

Which functional scales are commonly used to assess hip function?

Lower Extremity Functional Scale (LEFS) and Harris Hip Function Scale

What is the most common condition affecting the hip joint in adults?

Osteoarthritis

What is the mechanical disorder of the hip joint caused by abnormal bone shapes in the femoral head or acetabulum, leading to impingement during hip flexion?

Femoro-Acetabular Impingement (FAI)

What is the most common condition affecting the hip joint in adults?

Osteoarthritis

What is the characteristic feature of Femoro-Acetabular Impingement (FAI)?

Abnormal bone shapes in the femoral head or acetabulum

Study Notes

Hip Pathology and Impairments

  • The hip joint is involved in various functional activities such as walking, sitting to stand, and going up and down stairs.
  • Functional scales like the Lower Extremity Functional Scale (LEFS) and Harris Hip Function Scale are used to assess hip function.
  • Osteoarthritis is the most common condition affecting the hip joint in adults and is characterized by limited range of motion, stiffness, and pain.
  • Stretching, strengthening exercises, and aerobic activities are commonly used in the treatment of hip osteoarthritis.
  • Hip osteoarthritis can be diagnosed through limited range of motion, joint crepitus, and pain in the groin area during activity.
  • Other conditions that may present similar symptoms to hip osteoarthritis include avascular necrosis, rheumatoid arthritis, and stress fractures.
  • Legg-Calve-Perthes Disease is a condition that affects the blood supply to the femoral head in growing children, leading to osteonecrosis and subsequent stages of bone resorption and reossification.
  • Slipped Capital Femoral Epiphysis is characterized by posterior and inferior slippage of the proximal femoral epiphysis on the femoral neck, primarily affecting adolescents.
  • Femoro-Acetabular Impingement (FAI) is a mechanical disorder of the hip joint caused by abnormal bone shapes in the femoral head or acetabulum, leading to impingement during hip flexion.
  • Labral tears in the hip joint can be caused by trauma, femoro-acetabular impingement, or capsular laxity.
  • Diagnosis of labral tears is done through a combination of patient history, symptoms, and imaging techniques such as MRI.
  • Treatment for labral tears can be non-operative, focusing on physical therapy to reduce hip forces and increase muscle strength, or surgical, with arthroscopic repair or debridement.

Test your knowledge on hip pathology and impairments with this quiz. Learn about common conditions such as osteoarthritis, avascular necrosis, and labral tears, as well as their symptoms, diagnosis, and treatment options. Challenge yourself and enhance your understanding of hip joint issues.

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