Hip Impingement Syndrome

In the context of femoroacetabular impingement (FAI), which biomechanical consequence most directly arises from a combined cam and pincer deformity, leading to accelerated articular cartilage degradation?

A 68-year-old female presents with chronic groin pain exacerbated by hip flexion and internal rotation. Imaging reveals subtle osseous changes indicative of borderline FAI. Which advanced diagnostic modality would provide the MOST definitive assessment of early chondrolabral junction pathology and inform surgical decision-making?

When managing iliopsoas tendinopathy in an elite-level gymnast, which of the following rehabilitative strategies is MOST critical to incorporate during the late-stage return-to-sport protocol to minimize recurrence?

In a patient presenting with persistent gluteal tendinopathy refractory to conventional conservative management, what is the MOST appropriate next-line therapeutic intervention, considering the limitations of corticosteroid injections?

Following a displaced femoral neck fracture treated with open reduction and internal fixation (ORIF) in an 82-year-old patient with pre-existing avascular necrosis (AVN), which post-operative complication carries the HIGHEST risk of requiring conversion to total hip arthroplasty (THA) within one year?

Which biomechanical parameter is MOST crucial to optimize during surgical planning for total hip arthroplasty (THA) in a patient with a history of recurrent hip dislocations following previous THA?

In the management of trochanteric bursitis, what is the MOST compelling rationale for utilizing ultrasound-guided corticosteroid injections compared to landmark-guided injections?

Which objective clinical finding would MOST strongly suggest a diagnosis of iliopsoas bursitis rather than intra-articular hip pathology?

In a patient with advanced hip osteoarthritis awaiting total hip arthroplasty (THA), which pre-operative intervention has demonstrated the GREATEST potential for improving post-operative functional outcomes and reducing the length of hospital stay?

What is the MOST critical surgical consideration when performing total hip arthroplasty (THA) in a patient with severe acetabular bone loss secondary to rheumatoid arthritis?

In the diagnostic evaluation of a suspected metastatic lesion to the hip in a patient with a known history of prostate cancer, which imaging modality offers the HIGHEST sensitivity for detecting early bone marrow involvement?

When managing a patient with a pathological hip fracture secondary to metastatic lung cancer, what is the PRIMARY goal of surgical intervention?

In the context of hip impingement syndrome, which of the following surgical interventions would be MOST appropriate for addressing a combined cam and pincer lesion with associated labral tear and chondral damage?

What is the MOST significant long-term complication associated with corticosteroid injections for the management of greater trochanteric pain syndrome (GTPS)?

In a skeletally immature patient presenting with hip pain and radiographic evidence of a Slipped Capital Femoral Epiphysis (SCFE), what is the PRIMARY goal of surgical intervention?

When evaluating a patient for potential hip arthritis, which of the following clinical findings is MOST indicative of advanced disease requiring surgical intervention?

In a geriatric patient presenting with an intertrochanteric hip fracture and significant medical comorbidities, which surgical fixation method is MOST likely to facilitate early weight-bearing and reduce the risk of fixation failure?

Following a total hip arthroplasty (THA), which postoperative complication is MOST strongly associated with an increased risk of long-term revision surgery due to aseptic loosening?

In the evaluation of a patient with suspected hip pain, what is the MOST critical historical factor to differentiate between intra-articular hip pathology and referred pain from the lumbar spine?

Which non-operative treatment strategy has demonstrated the GREATEST efficacy in reducing pain and improving function in active individuals with gluteal tendinopathy?

What is the MOST appropriate initial imaging modality to evaluate a patient presenting with acute hip pain following a high-energy trauma, such as a motor vehicle collision?

In a patient with severe hip osteoarthritis and a fixed flexion contracture, what surgical technique is MOST critical to address during total hip arthroplasty (THA) to optimize postoperative hip extension and gait mechanics?

Which of the following postoperative rehabilitation protocols is MOST appropriate for a patient following arthroscopic labral repair and femoral osteochondroplasty for femoroacetabular impingement (FAI)?

In the management of a patient with trochanteric bursitis, which of the following injection techniques is MOST likely to provide long-term pain relief and prevent recurrence?

What is the MOST common mechanism of failure following surgical fixation of an intertrochanteric hip fracture with a sliding hip screw in an osteoporotic patient?

Which factor has the GREATEST influence on the long-term survival of a total hip arthroplasty (THA)?

Which of the following is the MOST sensitive clinical test for diagnosing a labral tear of the hip?

In a patient with hip pain and radiographic evidence of osteoarthritis, which of the following is the MOST appropriate initial non-operative treatment?

Which of the following is the MOST common primary malignant bone tumor that affects the hip region in adolescents and young adults?

What is the primary goal of hip arthroscopy in the setting of femoroacetabular impingement (FAI)?

Which of the following is the MOST important factor to consider when determining the appropriate treatment for a hip fracture in an elderly patient?

In the context of hip tendinitis, which of the following is the MOST appropriate initial management strategy for iliopsoas tendinitis?

Which of the following is the MOST common cause of hip pain in young adults?

What is the primary goal of treatment for hip bursitis?

In the context of hip arthritis, which of the following is the MOST effective long-term treatment option for relieving pain and restoring function in patients with severe hip osteoarthritis?

In a patient with metastatic cancer to the hip, which of the following is the MOST important consideration when planning surgical treatment?