Lecture #13 - Bony and Articular Pathologies of the Hip
210 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What two primary structures are affected by an iliac crest contusion?

The musculature in the area (especially the abdominal wall and gluteus medius) and the iliac crest.

What is meralgia paraesthetica and how is it related to an iliac crest contusion?

Meralgia paraesthetica is the compression of the lateral femoral cutaneous nerve, which can occur secondary to an iliac crest contusion.

In which sports is an iliac crest contusion most frequently seen?

Iliac crest contusions are most frequently seen in sports such as volleyball and diving.

What symptom would lead you to suspect an iliac crest fracture rather than a contusion?

<p>The presence of crepitus would lead me to suspect an iliac crest fracture.</p> Signup and view all the answers

What factors may aggravate the pain associated with an iliac crest contusion?

<p>Coughing, sneezing, or bearing down may aggravate the pain associated with an iliac crest contusion.</p> Signup and view all the answers

What are the potential complications one might encounter due to a hip pointer injury?

<p>Meralgia paraesthetica and lateral femoral cutaneous nerve injury.</p> Signup and view all the answers

In what specific movements might a person with an iliac crest contusion experience enhanced pain?

<p>Coughing, sneezing, or bearing down.</p> Signup and view all the answers

Why might someone suspect an iliac crest fracture instead of a contusion when symptoms are similar?

<p>The presence of crepitus may indicate a fracture.</p> Signup and view all the answers

What is the impact of an iliac crest contusion on an athlete’s ability to perform in sports like volleyball?

<p>It can lead to significant limitations in mobility and pain during movement.</p> Signup and view all the answers

Identify the primary impact on musculature due to an iliac crest contusion.

<p>It primarily affects the abdominal wall and gluteus medius.</p> Signup and view all the answers

Which condition is commonly associated with an iliac crest contusion?

<p>Meralgia paraesthetica</p> Signup and view all the answers

Pain referred from meralgia paraesthetica is localized to the medial thigh.

<p>False</p> Signup and view all the answers

Name one muscle that would be most affected by an iliac crest contusion.

<p>Abdominal wall or Gluteus medius</p> Signup and view all the answers

An iliac crest contusion is primarily seen in the sport of __________.

<p>volleyball</p> Signup and view all the answers

Match the following symptoms with their respective conditions:

<p>Ecchymosis = Iliac crest contusion Crepitus = Iliac crest fracture Disproportionate pain = Diving Swelling = Iliac crest contusion</p> Signup and view all the answers

What is the most common region of the body for avulsion fractures?

<p>At the hip.</p> Signup and view all the answers

Name three specific locations where avulsion fractures can occur.

<p>ASIS, ischial tuberosity, pubic tubercle.</p> Signup and view all the answers

What is the primary mechanism of injury (MOI) for avulsion fractures in skeletally immature individuals?

<p>The bone is the weakest point, leading to the tendon pulling off at the bone instead of rupturing.</p> Signup and view all the answers

What other injury mechanism is synonymous with an avulsion fracture?

<p>A tendon or muscle rupture.</p> Signup and view all the answers

In which population are avulsion fractures most frequently seen and why?

<p>In skeletally immature individuals due to less ossified bones.</p> Signup and view all the answers

What are the common symptoms experienced with an avulsion fracture?

<p>Pain that is sometimes sharp, constant aching, along with swelling and discoloration.</p> Signup and view all the answers

When is strength and function most diminished after an avulsion fracture?

<p>Against a load.</p> Signup and view all the answers

How would you describe the gait of a person with an avulsion fracture?

<p>Antalgic gait, indicating pain during movement.</p> Signup and view all the answers

Are avulsion fractures ruled out in older populations?

<p>No, they can still occur in older individuals.</p> Signup and view all the answers

How are avulsion fractures and muscle ruptures treated?

<p>They are treated the same way.</p> Signup and view all the answers

What are the 7 potential sites in the body where avulsion fractures can occur?

<p>ASIS, AIIS, lesser trochanter, ischial tuberosity, greater tuberosity, pubis, pubic tubercle.</p> Signup and view all the answers

Explain why skeletally immature individuals are more prone to avulsion fractures.

<p>Their bones are not fully ossified, making the bone the weakest point during tension, leading to avulsion rather than tendon rupture.</p> Signup and view all the answers

Describe the mechanism of injury (MOI) leading to an avulsion fracture.

<p>The MOI includes sudden starts, changes of direction, and forceful rotation.</p> Signup and view all the answers

What are the common symptoms associated with avulsion fractures?

<p>Symptoms include sharp pain, constant aching, swelling, discoloration, and point tenderness.</p> Signup and view all the answers

Why is palpation not very useful in diagnosing an avulsion fracture?

<p>Palpation provides limited insight due to significant pain and tenderness present in the area.</p> Signup and view all the answers

How does the gait change in individuals with avulsion fractures?

<p>Individuals typically exhibit an antalgic gait to avoid pain while walking.</p> Signup and view all the answers

In what way are avulsion fractures and muscle ruptures treated?

<p>They are treated similarly; the management approaches do not differ significantly.</p> Signup and view all the answers

What role does nighttime play in the pain characteristics of avulsion fractures?

<p>Pain is often most aggravating at nighttime, which can disrupt sleep.</p> Signup and view all the answers

What is an apophysis?

<p>An apophysis is a growth plate at the site of a tendon or ligament attachment to a bone.</p> Signup and view all the answers

Is it possible to find avulsion fractures in older populations, and why?

<p>Yes, avulsion fractures can still occur in older populations due to the presence of stress on tendons.</p> Signup and view all the answers

What is the most common region of the body where avulsion fractures occur?

<p>Hip</p> Signup and view all the answers

Avulsion fractures can only occur in skeletally mature individuals.

<p>False</p> Signup and view all the answers

Name two common symptoms associated with avulsion fractures.

<p>Pain and swelling</p> Signup and view all the answers

An avulsion fracture is described as the _______ away of the bony attachment of a ligament or tendon.

<p>tearing</p> Signup and view all the answers

Match the following structures with their location related to avulsion fractures:

<p>ASIS = Iliac region AIIS = Iliac region Greater tuberosity = Shoulder Ischial tuberosity = Pelvis</p> Signup and view all the answers

What is a primary reason why avulsion fractures are more common in younger individuals?

<p>Their muscles are stronger relative to their bones</p> Signup and view all the answers

Palpation is a highly effective method to diagnose an avulsion fracture.

<p>False</p> Signup and view all the answers

What type of pain characteristics do patients with avulsion fractures typically report?

<p>Sharp and constant aching</p> Signup and view all the answers

The mechanism of injury for avulsion fractures can involve a sudden change of _______.

<p>direction</p> Signup and view all the answers

Which of the following best describes the treatment for avulsion fractures?

<p>Rest, ice, and physical therapy</p> Signup and view all the answers

What is apophysitis and which age group is it most commonly associated with?

<p>Apophysitis is an inflammatory condition involving a secondary ossification center of a bone, and it is most commonly seen in skeletally immature athletes.</p> Signup and view all the answers

List two specific locations where apophysitis is frequently found.

<p>Apophysitis is frequently found at the ASIS and the iliac crest.</p> Signup and view all the answers

What pain characteristics are typically described by individuals suffering from apophysitis?

<p>Individuals typically describe the pain as dull and aching.</p> Signup and view all the answers

How can apophysitis occasionally be asymptomatic, and in what context does this occur?

<p>Apophysitis can be asymptomatic when the individual is not experiencing significant pain, often seen in the context of localized inflammation.</p> Signup and view all the answers

Which well-known type of apophysitis is not associated with the hip region?

<p>The most well-known type of apophysitis not associated with the hip is Osgood-Schlatter's disease.</p> Signup and view all the answers

What role does muscle tightness play in the development of apophysitis during growth spurts?

<p>Muscle tightness contributes to the tension at attachment sites, increasing the risk of apophysitis as the bones grow rapidly.</p> Signup and view all the answers

What two key factors differentiate apophysitis from avulsion fractures?

<p>The mechanism of injury (gradual vs traumatic) and the nature of the injury itself are the two key differentiators.</p> Signup and view all the answers

In what manner can the deformity associated with apophysitis manifest in individuals?

<p>The deformity can manifest as an observable bony landmark at the site of attachment due to bone stretching and subsequent ossification.</p> Signup and view all the answers

What is the primary factor that limits the level of function (LOF) in individuals with apophysitis?

<p>The primary factor that limits function is the localized pain experienced at the affected site.</p> Signup and view all the answers

What distinguishes the mechanism of injury (MOI) for apophysitis from that of an avulsion fracture?

<p>Apophysitis results from gradual, repetitive strain while avulsion fractures occur from traumatic forces.</p> Signup and view all the answers

Why is apophysitis exclusively observed in skeletally immature athletes?

<p>It is due to the presence of secondary ossification centers that are still developing in younger individuals.</p> Signup and view all the answers

How does muscle tightness contribute to the development of apophysitis during growth spurts?

<p>Muscle tightness creates intense tension on the bone's attachment sites, leading to inflammation and the potential for bony adaptations.</p> Signup and view all the answers

What are the two key characteristics differentiating apophysitis symptoms from symptoms of an avulsion fracture?

<p>Apophysitis symptoms involve dull, aching pain and point tenderness, while avulsion fractures usually present with sharper, more acute pain.</p> Signup and view all the answers

In what way can apophysitis be asymptomatic in certain individuals?

<p>It may be asymptomatic due to localized pain that diffuses, leading to minimal awareness of the condition during certain activities.</p> Signup and view all the answers

What condition is considered the most well-known type of apophysitis outside the hip region?

<p>Osgood-Schlatter's disease is the most recognized type of apophysitis not associated with the hip.</p> Signup and view all the answers

What role does pain play in the limitation of function (LOF) in individuals with apophysitis?

<p>Pain is the primary factor limiting function, particularly during activity, as it can inhibit movement and performance.</p> Signup and view all the answers

How does the bony development from apophysitis manifest over time?

<p>Over time, continual tension leads to additional bone formation at the attachment site, ultimately creating a bony landmark.</p> Signup and view all the answers

What types of activities are likely to aggravate the pain associated with apophysitis?

<p>Activities involving repetitive motion or intense physical exertion, especially sports, can aggravate apophysitis pain.</p> Signup and view all the answers

Which of the following locations is NOT commonly associated with apophysitis?

<p>Lateral epicondyle</p> Signup and view all the answers

Apophysitis can only occur in skeletally mature individuals.

<p>False</p> Signup and view all the answers

What is the primary characteristic of pain experienced with apophysitis?

<p>Dull, aching pain</p> Signup and view all the answers

The most well-known type of apophysitis, which is not located in the hip, is called __________.

<p>Osgood-Schlatter's</p> Signup and view all the answers

Match the following locations with their relation to apophysitis:

<p>ASIS = Common site AIIS = Common site Pubis = Common site Talus = Not a site</p> Signup and view all the answers

It is not possible for apophysitis to be asymptomatic.

<p>False</p> Signup and view all the answers

What is the primary cause of apophysitis in athletes?

<p>Repetitive strain due to muscle tightness and growth spurts</p> Signup and view all the answers

Pain in apophysitis is commonly aggravated by __________.

<p>activity</p> Signup and view all the answers

What activity is most commonly associated with osteitis pubis in females?

<p>Childbearing.</p> Signup and view all the answers

What is one key characteristic that helps differentiate osteitis pubis from adductor strain and pubic symphysis sprain?

<p>Osteitis pubis is chronic in nature.</p> Signup and view all the answers

Which populations are most affected by osteitis pubis?

<p>Skeletally mature males.</p> Signup and view all the answers

Name two sports that commonly involve osteitis pubis due to the nature of their physical demands.

<p>Ice sports (such as hockey, skating) and kicking sports (such as soccer, football).</p> Signup and view all the answers

What specific symptoms can indicate osteitis pubis related to mobility limitations?

<p>Limited hip rotation and pain or weakness with ISOM hip ADD and trunk FLEX.</p> Signup and view all the answers

What activity is osteitis pubis commonly associated with in females?

<p>Childbearing.</p> Signup and view all the answers

Name two conditions that osteitis pubis closely mimics.

<p>Adductor strain and pubic symphysis sprain.</p> Signup and view all the answers

How can you differentiate osteitis pubis from an adductor strain or pubic symphysis sprain?

<p>Osteitis pubis is chronic in nature.</p> Signup and view all the answers

Which sports are notably linked with the occurrence of osteitis pubis?

<p>Ice sports (like hockey and skating) and kicking sports (like soccer and football).</p> Signup and view all the answers

What specific symptoms are typically observed in a person with osteitis pubis?

<p>Tenderness at the symphysis and limited hip rotation.</p> Signup and view all the answers

Which of the following conditions does osteitis pubis mimic?

<p>Adductor strain</p> Signup and view all the answers

Osteitis pubis is most commonly associated with high-impact sports like basketball and football.

<p>False</p> Signup and view all the answers

What is the primary population affected by osteitis pubis?

<p>Skeletally mature males</p> Signup and view all the answers

Osteitis pubis is characterized by chronic __________ in nature.

<p>inflammation</p> Signup and view all the answers

Match the symptoms of osteitis pubis with their descriptions:

<p>Tenderness at bony/symphyseal = Localized pain at the pubic region Limited hip rotation = Restricted movement during hip activities Pain with ISOM hip ADD = Discomfort during isometric hip adduction Weakness with trunk FLEX = Difficulty flexing the trunk</p> Signup and view all the answers

Which population is most commonly affected by femoral neck stress fractures?

<p>Endurance athletes</p> Signup and view all the answers

Femoral neck stress fractures are often easy to locate due to their superficial position.

<p>False</p> Signup and view all the answers

What is the primary pain quality experienced with femoral neck stress fractures?

<p>Deep aching</p> Signup and view all the answers

Femoral neck stress fractures tend to aggravate during _________________.

<p>increased activity</p> Signup and view all the answers

Match the following characteristics with their relevance to femoral neck stress fractures:

<p>Female athlete triad = Population affected Lean mass = Body type Increased training load = Aggravating factor Range of motion restriction = Symptom response</p> Signup and view all the answers

At what time of day are stress fractures typically most bothersome?

<p>Night</p> Signup and view all the answers

All movements will be painful for someone with a femoral neck stress fracture.

<p>True</p> Signup and view all the answers

What are the three key factors that contribute to the diagnosis of a stress fracture?

<p>Duration of problem, training load, persistent tendinopathy</p> Signup and view all the answers

The symptom of pain from a femoral neck stress fracture is exacerbated after ___________ ceases.

<p>activity</p> Signup and view all the answers

Why do femoral neck stress fractures often present with deep aching pain?

<p>The pain quality is deep and aching due to the fracture being located deep under muscle and tissue.</p> Signup and view all the answers

At what time of day are stress fractures most bothersome, and why?

<p>Stress fractures are most bothersome at night because that is when the bone is actively healing.</p> Signup and view all the answers

What are the three key factors associated with the risk of developing a stress fracture?

<ol> <li>Duration of the athlete's problem, 2) Training regimen, 3) Presence of a non-improving tendinopathy.</li> </ol> Signup and view all the answers

How is range of motion (ROM) affected by a femoral neck stress fracture?

<p>ROM would be limited and painful, particularly at end ranges of motion.</p> Signup and view all the answers

Why are femoral neck stress fractures challenging to diagnose?

<p>They are difficult to locate due to being deep underneath a lot of muscle and soft tissue.</p> Signup and view all the answers

Which specific movements most exacerbate the pain associated with a femoral neck stress fracture?

<p>Pain is often exacerbated during flexion and extension movements.</p> Signup and view all the answers

In assessing a potential stress fracture, what could a positive active straight leg raise indicate?

<p>It may indicate stress fractures due to the bowing present in the area related to the axial skeleton.</p> Signup and view all the answers

What role does increased training load have on the development of stress fractures?

<p>Increased training load and activity aggravate stress fractures.</p> Signup and view all the answers

What population is particularly prone to femoral neck stress fractures and why?

<p>Endurance athletes, particularly females, due to factors like lean body mass and the female athlete triad.</p> Signup and view all the answers

Why do femoral neck stress fractures often go unnoticed initially?

<p>They are hard to locate because they are deep beneath a lot of soft tissue.</p> Signup and view all the answers

At what time of day are stress fractures most bothersome, and what is the reason for this?

<p>Stress fractures are most bothersome at night because this is when bone healing and remodeling are most active while resting.</p> Signup and view all the answers

What are the main movements that may be limited or painful in a femoral neck stress fracture?

<p>All movements may be limited or painful, particularly flexion and extension.</p> Signup and view all the answers

What are the three key factors to consider when assessing an athlete with a stress fracture?

<ol> <li>Duration of symptoms, 2) Training intensity, 3) Presence of unresponsive tendinopathy.</li> </ol> Signup and view all the answers

How does the active straight leg raise test relate to femoral neck stress fractures?

<p>It can be positive for stress fractures due to the increased bowing present in the area when the axial skeleton connects at the hip.</p> Signup and view all the answers

What type of pain is typically associated with femoral neck stress fractures?

<p>Patients usually experience deep aching pain.</p> Signup and view all the answers

What factors contribute to the aggravation of pain in a femoral neck stress fracture?

<p>Increased training load and activity exacerbate the pain, particularly during and just after activity.</p> Signup and view all the answers

What role does the fulcrum test play in the assessment of femoral neck stress fractures?

<p>The fulcrum test can help assess the integrity of the femur and detect potential stress fractures.</p> Signup and view all the answers

What are the three types of femoral acetabular impingement (FAI)?

<p>Cam, Pincer, and Mixed.</p> Signup and view all the answers

What is required to confirm the presence of FAI?

<p>Imaging.</p> Signup and view all the answers

What movement pattern is a primary predictor for early presentations of FAI?

<p>Pelvic anterior rotation/tilting.</p> Signup and view all the answers

Can FAI be asymptomatic, and if so, to what extent?

<p>Yes, it can be asymptomatic and is often observed in individuals without significant symptoms.</p> Signup and view all the answers

What are two factors associated with the developmental form of FAI?

<p>Pelvic positioning and posture.</p> Signup and view all the answers

What type of FAI is considered extremely problematic?

<p>Mixed FAI.</p> Signup and view all the answers

What conditions might FAI present as?

<p>Stress fractures, tendinopathy, osteoarthritis, and labral issues.</p> Signup and view all the answers

What is often aggravated by activity or prolonged sitting in individuals with FAI?

<p>Pain in the hip joint.</p> Signup and view all the answers

What is a secondary predictor for presenting with FAI?

<p>A posterior pelvic tilt.</p> Signup and view all the answers

In which individuals should FAI be evaluated?

<p>Any individuals with longstanding groin pain.</p> Signup and view all the answers

Which type of FAI is considered extremely problematic and why?

<p>Mixed type is extremely problematic due to its combination of both Cam and Pincer characteristics.</p> Signup and view all the answers

What are the necessary steps to confirm the presence of FAI?

<p>Imaging is necessary to confirm the presence of FAI.</p> Signup and view all the answers

How can FAI be asymptomatic and what should be considered in such cases?

<p>FAI can be asymptomatic, and it's important to consider its impact on surrounding joints and structures.</p> Signup and view all the answers

What is the main predictor for early presentations of FAI?

<p>The main predictor is pelvic anterior rotation or tilting.</p> Signup and view all the answers

What secondary factor can be associated with FAI, and how does it differ from the main predictor?

<p>A posterior pelvic tilt is a secondary factor, with a less significant early onset of symptoms.</p> Signup and view all the answers

Name two factors that can be associated with the developmental form of FAI.

<p>Pelvic positioning and posture.</p> Signup and view all the answers

What are the four conditions that may present alongside FAI?

<p>Stress fracture, Tendinopathy, Osteoarthritis, and Labral issues.</p> Signup and view all the answers

What movements are painful with FAI determined by?

<p>Painful movements are determined by the location of the lesion.</p> Signup and view all the answers

Which of the following types of femoral acetabular impingement (FAI) is characterized by an abnormally shaped femoral head?

<p>Cam</p> Signup and view all the answers

FAI is solely a congenital condition.

<p>False</p> Signup and view all the answers

What is the primary predictor for early presentations of femoral acetabular impingement?

<p>Pelvic anterior rotation</p> Signup and view all the answers

Femoral acetabular impingement can be confirmed through __________.

<p>imaging</p> Signup and view all the answers

Match the following conditions that may present with FAI:

<p>Stress fracture = Common in overweight individuals Tendinopathy = Pain associated with overuse Osteoarthritis = Degenerative joint disease Labral issues = Damage to the cartilage surrounding the hip joint</p> Signup and view all the answers

Individuals with FAI can be asymptomatic.

<p>True</p> Signup and view all the answers

List one factor that is associated with the developmental form of femoral acetabular impingement.

<p>Pelvic positioning or posture</p> Signup and view all the answers

Painful movements with FAI are determined by where the __________ is.

<p>lesion</p> Signup and view all the answers

Match the symptoms related to FAI with their descriptions:

<p>Groin pain = Common complaint in individuals with FAI Pinching sensation = Feeling during hip movement Pain with prolonged sitting = Aggravated symptom in FAI Quadrant test = Diagnostic maneuver for evaluating FAI</p> Signup and view all the answers

Which of the following is NOT a risk factor for osteoarthritis (OA)?

<p>High protein diet</p> Signup and view all the answers

Femoral acetabular impingement (FAI) typically presents with symptoms similar to those of osteoarthritis.

<p>True</p> Signup and view all the answers

What is a hallmark sign of hip osteoarthritis?

<p>Decreased internal rotation (IR) and decreased flexion (FLEX)</p> Signup and view all the answers

Osteoarthritis is characterized by degenerative changes at the acetabulum and/or ________ head.

<p>femoral</p> Signup and view all the answers

Match the hip conditions with their descriptions:

<p>Anteversion = Inward rotation of the femur Retroversion = Outward rotation of the femur Coxa vara = Inward angulation of the femur Coxa valga = Outward angulation of the femur</p> Signup and view all the answers

What is the typical pain characteristic associated with hip osteoarthritis?

<p>Achy/Sharp</p> Signup and view all the answers

Early morning stiffness is commonly reported by individuals with osteoarthritis.

<p>True</p> Signup and view all the answers

How many accessory movements would typically be reduced in an individual with osteoarthritis?

<p>All of them</p> Signup and view all the answers

In osteoarthritis, the main difference compared to femoral acetabular impingement is that OA affects the ________ of the joint.

<p>entire joint</p> Signup and view all the answers

What phenomenon might individuals with femoral acetabular impingement experience?

<p>Crepitus</p> Signup and view all the answers

What are the five main risk factors associated with osteoarthritis (OA)?

<p>Age, sex (females), weight (excess), activity levels (too active or sedentary), and family history.</p> Signup and view all the answers

Name the four hip conditions that are risk factors for developing osteoarthritis.

<p>Anteversion, retroversion, coxa vara, and coxa valga.</p> Signup and view all the answers

Identify another condition that could present with similar signs to hip OA, but to a lesser extent.

<p>Femoral acetabular impingement (FAI).</p> Signup and view all the answers

What abnormal sensations are commonly reported with femoral acetabular impingement?

<p>Crepitus, clicking, and grinding.</p> Signup and view all the answers

During which times of day is hip osteoarthritis typically most aggravating?

<p>Early in the morning and at night.</p> Signup and view all the answers

How does the main difference between OA and femoral acetabular impingement relate to pain sensation during motion restriction?

<p>With FAI, motion becomes limited due to a sudden bone-on-bone feeling, while OA doesn't present this sudden limitation.</p> Signup and view all the answers

What imaging is ultimately necessary to determine whether an individual has osteoarthritis or femoral acetabular impingement?

<p>Imaging techniques like X-rays or MRIs.</p> Signup and view all the answers

How many of the accessory movements would be reduced in an individual with osteoarthritis?

<p>All of them.</p> Signup and view all the answers

What is the underlying issue that commonalities between other forms of arthritis and spondylosis share?

<p>Bone starts to wear on bone, leading to the formation of extra bone.</p> Signup and view all the answers

Name four hip conditions that act as risk factors for osteoarthritis.

<p>Anteversion, retroversion, coxa vara, and coxa valga.</p> Signup and view all the answers

Which condition can present with the same hallmark sign as hip OA but to a lesser extent?

<p>Femoral acetabular impingement (FAI).</p> Signup and view all the answers

What are three abnormal sensations commonly associated with femoral acetabular impingement?

<p>Crepitus, clicking, and grinding.</p> Signup and view all the answers

At what times of the day is osteoarthritis pain typically most aggravating?

<p>Early in the morning and at night.</p> Signup and view all the answers

What is the main difference between osteoarthritis and femoral acetabular impingement?

<p>OA affects the whole joint, while FAI results in more localized bony lesions.</p> Signup and view all the answers

What diagnostic method is ultimately required to differentiate between osteoarthritis and femoral acetabular impingement?

<p>Imaging.</p> Signup and view all the answers

What is the earliest joint where osteoarthritis is likely to occur?

<p>The hip.</p> Signup and view all the answers

Which joint injury is similar to a hip labral tear?

<p>A labral tear in the shoulder.</p> Signup and view all the answers

Between the shoulder and hip, which is more prone to dislocations?

<p>The hip is more prone to dislocations.</p> Signup and view all the answers

What are two acute mechanisms of injury (MOI) associated with labral tears?

<p>Hip subluxation and hip dislocation.</p> Signup and view all the answers

Is a labral tear more commonly due to acute or chronic mechanisms of injury?

<p>It is more commonly due to acute mechanisms of injury.</p> Signup and view all the answers

What are four common sensations experienced with a labral tear?

<p>Clicking, catching, popping, and instability.</p> Signup and view all the answers

What two structural pathologies are associated with labral tears?

<p>Anteroversion and retroversion.</p> Signup and view all the answers

Which part of the labrum is most commonly injured in a labral tear?

<p>The anterior part of the labrum.</p> Signup and view all the answers

What is typically the most painful and restrictive movement associated with a labral tear?

<p>Moving from flexion to extension.</p> Signup and view all the answers

During a scouring test, what end feel would indicate a labral tear?

<p>A cartilaginous or fairly soft end feel.</p> Signup and view all the answers

Why might a labral tear lead to a feeling of instability in the hip joint?

<p>Abnormal movements in the joint affect joint receptors, creating a sensation of instability.</p> Signup and view all the answers

What type of joint injury has a similar mechanism of injury (MOI) to a hip labral tear?

<p>A labral tear in the shoulder.</p> Signup and view all the answers

Are hip dislocations more common than shoulder dislocations?

<p>Yes, hip dislocations are more likely.</p> Signup and view all the answers

What two acute injuries share a similar mechanism of injury with a labral tear?

<p>Hip subluxation and hip dislocation.</p> Signup and view all the answers

What is the primary likelihood of a labral tear occurring in terms of mechanism of injury?

<p>An acute mechanism of injury is more likely.</p> Signup and view all the answers

Name one structural pathology associated with a hip labral tear.

<p>Anteroversion.</p> Signup and view all the answers

What sensation is typically experienced during a hip labral tear?

<p>Clicking.</p> Signup and view all the answers

What is the most commonly injured aspect of the labrum in a labral tear?

<p>The anterior aspect.</p> Signup and view all the answers

Which type of end feel characterizes a labral tear during joint assessments?

<p>Cartilaginous or fairly soft end feel.</p> Signup and view all the answers

What typical movement is considered the most painful with a labral tear?

<p>Moving from flexion to extension.</p> Signup and view all the answers

What is the effect of a labral tear on active range of motion (AROM) and passive range of motion (PROM)?

<p>Both AROM and PROM are decreased.</p> Signup and view all the answers

Which joint injuries have a similar mechanism of injury (MOI) to a hip labral tear?

<p>Hip dislocation</p> Signup and view all the answers

Chronic mechanisms of injury are more likely to cause a hip labral tear than acute mechanisms.

<p>False</p> Signup and view all the answers

What are the four main sensations experienced with a labral tear of the hip?

<p>Clicking, catching, popping, instability</p> Signup and view all the answers

The aspect of the labrum that is most commonly injured is the _______.

<p>anterior</p> Signup and view all the answers

Which of these pathologies is NOT associated with a labral tear?

<p>Femoral head necrosis</p> Signup and view all the answers

Match the following conditions with their respective characteristics:

<p>Osteoarthritis = Common degenerative joint disease FAI = Impingement syndrome causing hip pain Labral tear = Injury to the cartilage of the hip joint Coxa valga = Hip deformity where the femur angle is increased</p> Signup and view all the answers

What factor can be key in differentiating a labral tear from osteoarthritis during an assessment?

<p>End feel during the scower test</p> Signup and view all the answers

A labral tear will restrict both active range of motion (AROM) and passive range of motion (PROM) equally.

<p>True</p> Signup and view all the answers

The four main risk factors for a labral tear include structural pathologies, degeneration, and _______.

<p>postural/mechanical dysfunction</p> Signup and view all the answers

What is the most painful and restrictive movement associated with a labral tear?

<p>Moving from FLEX to EXT</p> Signup and view all the answers

What are the two activities most aggravated with a hip sprain?

<p>Running and Cutting</p> Signup and view all the answers

Hip sprains typically present with noticeable swelling that can easily be observed.

<p>False</p> Signup and view all the answers

What two hip movements are most aggravated with a hip sprain?

<p>Hip extension and hip rotation</p> Signup and view all the answers

The most common mechanism of injury (MOI) for a hip sprain is trunk __________ of a fixed limb.

<p>rotation</p> Signup and view all the answers

Match the symptoms of a hip sprain with their descriptions:

<p>Pain = Discomfort in the hip joint, particularly with movement Swelling = May be present but difficult to observe Deep tissue damage = Typically occurs deeper within the joint</p> Signup and view all the answers

What are the two primary hip movements that are most aggravated during a hip sprain?

<p>Hip extension and hip rotation.</p> Signup and view all the answers

Describe why hip sprains are considered deeper injuries rather than superficial.

<p>Hip sprains affect the deeper structures around the hip joint, including ligaments and connective tissues, rather than just the skin or muscle surfaces.</p> Signup and view all the answers

Identify two activities that are most likely to aggravate a hip sprain.

<p>Running and cutting.</p> Signup and view all the answers

What is the most common mechanism of injury (MOI) leading to a hip sprain?

<p>Trunk rotation of a fixed limb.</p> Signup and view all the answers

Discuss the typical presentation of swelling in a hip sprain.

<p>Swelling may occur but it is often difficult to see, indicating a deeper injury.</p> Signup and view all the answers

What are the primary activities and hip movements that are aggravated by a hip sprain?

<p>The primary activities are running and cutting, while the hip movements affected are hip extension and hip rotation.</p> Signup and view all the answers

How common are hip sprains and what is the most common mechanism of injury associated with them?

<p>Hip sprains are rare, with the most common mechanism of injury being trunk rotation of a fixed limb.</p> Signup and view all the answers

In terms of symptoms, would a hip sprain typically present with superficial or deep pain?

<p>A hip sprain would typically present with deep pain.</p> Signup and view all the answers

Is swelling a common symptom in hip sprains, and if so, how noticeable is it?

<p>Swelling may occur with a hip sprain, but it is typically difficult to see.</p> Signup and view all the answers

What are the potential challenges in assessing the presence of swelling in a hip sprain?

<p>The swelling in a hip sprain may be present but is often difficult to visually detect.</p> Signup and view all the answers

Study Notes

Iliac Crest Contusion (Hip Pointer)

  • Primary Affected Structures:

    • Abdominal wall musculature
    • Gluteus medius muscle
    • Iliac crest

  • Most Affected Muscles:

    • Abdominal wall
    • Gluteus medius

  • Associated Condition: Lateral femoral cutaneous nerve injury (or lateral cutaneous nerve of the thigh) - can be secondary to a hip pointer

  • Meralgia Paraesthetica:

    • Condition describing compression of the lateral femoral cutaneous nerve
    • Results in pain in the proximal distribution of the nerve.

  • Mechanism of Injury:

    • Direct blow or fall, like diving or landing

  • Pain Characteristics:

    • Often disproportionate to the visible injury; bone is well-innervated
    • Aggravated by coughing, sneezing, or bearing down

  • Other Symptoms:

    • Swelling (possibly with ecchymosis)
    • Discoloration (bruising)
    • Loss of function (LOF)

  • Common Sports:

    • Volleyball
    • Diving
    • Landing activities

  • Mimicking Condition: Iliac crest fracture

  • Distinguishing Factor (Iliac Crest Fracture vs. Contusion): Presence of crepitus (a grating sound or feeling) strongly suggests a fracture.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Description

Test your knowledge on iliac crest contusions or hip pointers. This quiz covers the affected structures, pain characteristics, associated conditions, and common sports related to this injury. Understand the implications of injury mechanisms and symptoms for better management.

More Like This

Anatomy of the Gluteal Region
32 questions

Anatomy of the Gluteal Region

EventfulSage avatar
EventfulSage
Internal Iliac Artery Branches
24 questions

Internal Iliac Artery Branches Quiz & Flashcards

ConciseGhost avatar
ConciseGhost
Key Bony Landmarks in the Gluteal Region
80 questions

Key Bony Landmarks in the Gluteal Region

AmpleDwarf avatar
AmpleDwarf
Common Iliac Arteries
85 questions

Common Iliac Arteries

WinningHoneysuckle avatar
WinningHoneysuckle
Use Quizgecko on...
Browser
Open
Browser
Browser