Lecture #17 - Miscellaneous Pathologies of the Hip
149 Questions
8 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 are the three primary mechanisms of injury (MOIs) for ischial bursitis?

Mechanical, chemical, and septic.

Which type of bursitis is primarily addressed in this course?

Mechanical bursitis.

What role does mechanical injury play in the development of bursitis?

Mechanical injury is the provocative cause of bursitis.

How does septic bursitis differ from mechanical bursitis?

<p>Septic bursitis is infectious in nature, while mechanical bursitis is related to movement.</p> Signup and view all the answers

In terms of bursitis causes, what does chemical refer to in the context of ischial bursitis?

<p>Chemical refers to non-physical factors that contribute to inflammation.</p> Signup and view all the answers

Explain how mechanical causes can lead to ischial bursitis.

<p>Mechanical causes lead to ischial bursitis through repetitive movement or pressure on the hip area, resulting in inflammation of the bursa.</p> Signup and view all the answers

Describe the difference between septic and chemical bursitis in terms of causes.

<p>Septic bursitis is caused by infection, often following an acute injury, while chemical bursitis involves inflammatory responses not related to physical injury.</p> Signup and view all the answers

What is the significance of distinguishing mechanical bursitis from other types?

<p>Distinguishing mechanical bursitis is significant for targeted treatment strategies and prevention of further injury.</p> Signup and view all the answers

How does an acute injury potentially lead to septic bursitis?

<p>An acute injury can lead to septic bursitis by providing an entry point for pathogens, leading to infection and inflammation of the bursa.</p> Signup and view all the answers

Identify a potential consequence of untreated ischial bursitis and explain its impact.

<p>Untreated ischial bursitis can lead to chronic pain and reduced mobility, impacting daily activities and quality of life.</p> Signup and view all the answers

Which of the following is NOT a primary mechanism of injury for ischial bursitis?

<p>Thermal (B)</p> Signup and view all the answers

Septic bursitis is primarily caused by mechanical movement.

<p>False (B)</p> Signup and view all the answers

Name one primary mechanism of injury that can cause ischial bursitis.

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

Bursitis is the inflammation of the fluid-filled sac surrounding a ______.

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

Match the type of bursitis with its cause:

<p>Mechanical = Movement is the provocative cause Chemical = Not specifically addressed Septic = Infectious in nature, often secondary to acute injury</p> Signup and view all the answers

Which sign is NOT commonly associated with bursitis?

<p>Fever (D)</p> Signup and view all the answers

Acute bursitis is often associated with swelling and heat.

<p>True (A)</p> Signup and view all the answers

What is the biggest red flag when it comes to bursal injuries?

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

Chronic bursitis is associated with an ______ gait.

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

What type of bursitis is more likely to be painful?

<p>Acute bursitis (D)</p> Signup and view all the answers

Match the following types of bursitis with their associated characteristics:

<p>Septic bursitis = Infection leading to redness Chronic bursitis = Little to no swelling or heat Acute bursitis = Severe pain and inflammation Contusions = Associated condition with acute bursitis</p> Signup and view all the answers

Swelling in the hip due to bursitis is usually obvious.

<p>False (B)</p> Signup and view all the answers

What are the signs that indicate limited range of motion (ROM) in bursitis?

<p>Pain limited.</p> Signup and view all the answers

What type of bursitis involves an infection and redness, and why does this occur?

<p>Septic bursitis, due to the infection process.</p> Signup and view all the answers

How are swelling and heat different in acute versus chronic bursitis?

<p>Swelling and heat are common in acute bursitis but not in chronic bursitis.</p> Signup and view all the answers

What is a significant characteristic of gait in chronic bursitis?

<p>Antalgic gait.</p> Signup and view all the answers

In the context of bursitis, what does rebound pain indicate, and how effective is it as a symptom?

<p>Rebound pain is not a good sign for assessing bursitis.</p> Signup and view all the answers

What relationship exists between direct trauma and painful bursitis?

<p>Painful bursitis is typically related to the direct cause, like a blow or fall.</p> Signup and view all the answers

Identify the primary red flag associated with bursal injuries and explain its significance.

<p>Redness, as it indicates a possible infection that can spread.</p> Signup and view all the answers

List the five primary signs and symptoms commonly associated with bursitis.

<p>Limited range of motion (ROM) with pain, tenderness on palpation (TOP), an antalgic gait, swelling, and warmth.</p> Signup and view all the answers

Explain why septic bursitis is associated with redness.

<p>Septic bursitis is associated with redness because of the infection process that occurs in the area.</p> Signup and view all the answers

How does the presence of swelling and heat differ between acute and chronic bursitis?

<p>Swelling and heat are common in acute bursitis but not in chronic bursitis.</p> Signup and view all the answers

What is the relationship between an antalgic gait and chronic bursitis?

<p>An antalgic gait is more related to chronic bursitis as it reflects ongoing pain and discomfort.</p> Signup and view all the answers

What role does a direct blow or fall play in the pain experienced with bursitis?

<p>If bursitis is painful, it is typically related to the direct blow or fall that caused it.</p> Signup and view all the answers

Describe how rebound pain is viewed in the assessment of bursitis.

<p>Rebound pain is not regarded as a good sign/symptom when assessing for bursitis.</p> Signup and view all the answers

Discuss the implications of redness as a red flag in bursal injuries.

<p>Redness is a significant red flag as it may indicate an infectious process that could lead to severe complications.</p> Signup and view all the answers

What does the acronym RAW represent in relation to the mechanisms of injury for trochanteric bursitis?

<p>RAW stands for Running on tracks with no banking, Abnormal running mechanics, and Wide pelvis plus genu valgum.</p> Signup and view all the answers

What might a person with trochanteric bursitis experience during hip movement, and what causes this phenomenon?

<p>Crepitus may be present because several muscles attach in the area, leading to an audible or tactile sensation during movement.</p> Signup and view all the answers

List the four movements that would likely aggravate trochanteric bursitis and explain why.

<p>Flexion, extension, internal rotation (IR), and external rotation (ER) would aggravate it due to the iliotibial band rubbing over the bursa.</p> Signup and view all the answers

If aggravated movements are present in trochanteric bursitis, what special test might be conducted?

<p>Ober’s test is the special test that may be performed to assess for hip tightness and bursitis.</p> Signup and view all the answers

What is the likelihood of developing tendinopathy in the area where bursitis occurs, and why is this significant?

<p>There is a high chance of developing tendinopathy in the same area as bursitis due to overlapping mechanical stress factors.</p> Signup and view all the answers

How do the physical characteristics of a person, such as pelvic width and Q angle, contribute to the risk of trochanteric bursitis?

<p>A wide pelvis and genu valgum increase the Q angle, which can lead to abnormal running mechanics and increased stress on the trochanteric bursa.</p> Signup and view all the answers

What are the implications of running on unbanked tracks for individuals prone to trochanteric bursitis?

<p>Running on unbanked tracks increases the risk of developing trochanteric bursitis due to mechanical stress and improper alignment caused by centrifugal forces.</p> Signup and view all the answers

How does a wide pelvis contribute to the development of trochanteric bursitis?

<p>A wide pelvis increases the Q angle, leading to altered biomechanics and increased forces on the hip, predisposing individuals to bursitis.</p> Signup and view all the answers

Describe how crepitus is connected to hip movement in individuals with trochanteric bursitis.

<p>Crepitus occurs during hip movement in trochanteric bursitis due to the irritation of muscle attachments in the inflamed bursa.</p> Signup and view all the answers

Why are flexion, extension, internal rotation, and external rotation particularly aggravating movements for trochanteric bursitis?

<p>These movements aggravate trochanteric bursitis due to the iliotibial band's friction over the bursa during hip motion.</p> Signup and view all the answers

What prediction can be made about the occurrence of tendinopathy alongside bursitis in the hip region?

<p>There is a high likelihood of tendinopathy occurring in conjunction with bursitis due to shared risk factors and biomechanical stresses.</p> Signup and view all the answers

How does abnormal running mechanics lead to increased risk of trochanteric bursitis?

<p>Abnormal running mechanics increase adduction of the hip, resulting in excessive strain on the structures around the greater trochanter.</p> Signup and view all the answers

What does the acronym RAW stand for in relation to the mechanisms of injury for trochanteric bursitis?

<p>Running, Abnormal Mechanics, Wide Pelvis (A)</p> Signup and view all the answers

Crepitus can occur during hip movement due to several muscle attachments in the area.

<p>True (A)</p> Signup and view all the answers

Name one of the four movements that would most aggravate trochanteric bursitis.

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

Individuals with a __________ pelvis may have an increased risk of developing trochanteric bursitis due to a wider Q angle.

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

Match each aggravating movement to its reason for aggravating trochanteric bursitis:

<p>Flexion = Iliotibial band attachment Extension = Iliotibial band attachment Internal Rotation = Iliotibial band attachment External Rotation = Iliotibial band attachment</p> Signup and view all the answers

What is the likelihood of developing tendinopathy in the same area where bursitis occurs?

<p>High (A)</p> Signup and view all the answers

What is the most common acute mechanism of injury (MOI) associated with ischial bursitis?

<p>Falling on it (A)</p> Signup and view all the answers

Sitting with the lower limb moving is the most common chronic mechanism of injury associated with ischial bursitis.

<p>True (A)</p> Signup and view all the answers

What are the two muscle groups most affected by ischial bursitis?

<p>Gluteals and Hamstring</p> Signup and view all the answers

The tendons that attach at the ischial tuberosity are primarily from the __________.

<p>Hamstring muscles</p> Signup and view all the answers

Match the following factors with their associated role in ischial bursitis:

<p>Acute MOI = Falling on the ischial tuberosity Chronic MOI #1 = Sitting with lower limb moving Affected ROM movement #1 = Active Range of Motion in Flexion Affected ROM movement #2 = Isometric Extension</p> Signup and view all the answers

Which tendon is primarily associated with the ischial tuberosity?

<p>Hamstring (A)</p> Signup and view all the answers

The most common acute mechanism of injury associated with ischial bursitis is caused by sitting down for long periods.

<p>False (B)</p> Signup and view all the answers

What are the two ranges of motion (ROM) movements that would be most affected by ischial bursitis?

<p>Active Range of Motion (FLEX) and Isometric Extension (ISOM EXT)</p> Signup and view all the answers

The two muscle groups most affected by ischial bursitis are the ______ and the ______.

<p>Gluteals, Hamstring</p> Signup and view all the answers

Match the mechanism of injury (MOI) with its description:

<p>Acute MOI = Falling on the ischial tuberosity Chronic MOI 1 = Sitting with the lower limb moving Chronic MOI 2 = Proximal hamstring pathology</p> Signup and view all the answers

What tendons attach to the ischial tuberosity?

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

Which two range of motion (ROM) movements would be most affected by ischial bursitis?

<p>Active range of motion (AROM) for flexion and isometric (ISOM) for extension.</p> Signup and view all the answers

Which two muscle groups are primarily affected by ischial bursitis?

<p>Gluteals and hamstrings.</p> Signup and view all the answers

What is the most common chronic mechanism of injury (MOI) associated with ischial bursitis?

<p>Sitting with the lower limb moving.</p> Signup and view all the answers

Identify the two primary muscle groups most affected by ischial bursitis.

<p>Gluteals and hamstrings.</p> Signup and view all the answers

What two range of motion (ROM) movements are typically most affected by ischial bursitis?

<p>Active range of motion (AROM) flexion and isometric (ISOM) extension.</p> Signup and view all the answers

What are the three structures affected by internal snapping hip syndrome, as summarized by the acronym TAP?

<p>The three structures are the Posterior iliotibial band, Anterior gluteus maximus, and Trochanteric bursitis.</p> Signup and view all the answers

Is internal snapping hip syndrome classified as a pathology, and what is its true nature?

<p>No, it is not classified as a pathology; it is actually a symptom rather than a distinct condition.</p> Signup and view all the answers

How does the interaction of the Posterior iliotibial band, Anterior gluteus maximus, and Trochanteric bursitis contribute to hip movement?

<p>These structures interact during hip movement, influencing stability and can lead to symptoms like snapping.</p> Signup and view all the answers

What role do the affected structures in internal snapping hip syndrome play in hip mechanics?

<p>They contribute to the stability and movement dynamics of the hip joint, impacting mobility.</p> Signup and view all the answers

Why is it important to differentiate between symptoms like internal snapping hip syndrome and underlying pathological conditions?

<p>Differentiating them is crucial for appropriate diagnosis, treatment, and management of hip issues.</p> Signup and view all the answers

What are the three structures affected by internal snapping hip syndrome represented by the acronym TAP?

<p>Posterior iliotibial band, anterior gluteus maximus, and trochanteric bursitis.</p> Signup and view all the answers

Is snapping syndrome considered a pathology, and what is its true nature?

<p>No, snapping syndrome is not a pathology; it is a symptom indicating possible mechanical issues in the hip.</p> Signup and view all the answers

In relation to internal snapping hip syndrome, explain the significance of the posterior iliotibial band.

<p>The posterior iliotibial band contributes to hip stability and movement, and its dysfunction may lead to a snapping sensation.</p> Signup and view all the answers

How does the involvement of the anterior gluteus maximus relate to internal snapping hip syndrome?

<p>The anterior gluteus maximus plays a role in hip flexion and extension, and its involvement can lead to snapping during movement.</p> Signup and view all the answers

What role does trochanteric bursitis play in the context of internal snapping hip syndrome?

<p>Trochanteric bursitis can cause pain and inflammation, contributing to the snapping sensation during hip movements.</p> Signup and view all the answers

What structures does the acronym TAP stand for in relation to internal snapping hip syndrome?

<p>Trochanteric bursitis, Anterior gluteus maximus, Posterior iliotibial band (B)</p> Signup and view all the answers

Internal snapping hip syndrome is classified as a pathology.

<p>False (B)</p> Signup and view all the answers

Name one of the structures involved in internal snapping hip syndrome.

<p>Posterior iliotibial band</p> Signup and view all the answers

Internal snapping hip syndrome primarily affects the ___________ and trochanteric bursitis.

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

Match the following terms with their descriptions:

<p>TAP = Structures affected by internal snapping hip syndrome Trochanteric bursitis = A condition characterized by inflammation of the bursa near the hip joint Internal snapping hip syndrome = A symptom rather than a pathology Gluteus muscles = Muscles involved in hip movements</p> Signup and view all the answers

What type of snapping hip syndrome is most likely to be consistently painful?

<p>Intra-articular snapping hip syndrome (C)</p> Signup and view all the answers

Pain does not typically accompany snapping hip syndrome.

<p>True (A)</p> Signup and view all the answers

What happens during palpation when assessing snapping hip syndrome?

<p>Snapping can be felt</p> Signup and view all the answers

The pain caused by snapping hip syndrome is usually ______.

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

Match the snapping hip syndrome types with their characteristics:

<p>External Snapping Hip Syndrome = ITB snapping over the greater trochanter Intra-articular Snapping Hip Syndrome = Painful upon movement Superficial Snapping Hip Syndrome = No pain typically associated Deep Snapping Hip Syndrome = Pain located deep within the hip joint</p> Signup and view all the answers

What type of pain is typically associated with snapping hip syndrome?

<p>It is typically deep.</p> Signup and view all the answers

In the context of external snapping hip syndrome, what is the relationship between the iliotibial band (ITB) and the hip?

<p>It’s a chicken or egg situation regarding whether the ITB snaps over the hip or vice-versa.</p> Signup and view all the answers

Is palpation likely to reveal the presence of snapping hip syndrome?

<p>Yes, snapping hip syndrome can be felt upon palpation.</p> Signup and view all the answers

Is snapping hip syndrome generally painful?

<p>No, it is not typically painful.</p> Signup and view all the answers

Which type of snapping hip syndrome is most consistently painful?

<p>Intra-articular snapping hip syndrome is the most likely to be consistently painful.</p> Signup and view all the answers

Is the pain associated with snapping hip syndrome generally considered to be deep or superficial?

<p>It is generally considered to be deep.</p> Signup and view all the answers

What is the debated cause of external snapping hip syndrome?

<p>It is debated whether the ITB snaps over the hip or vice-versa.</p> Signup and view all the answers

Can snapping hip syndrome be felt during palpation?

<p>Yes, it can be felt during palpation.</p> Signup and view all the answers

Is snapping hip syndrome typically characterized as painful?

<p>No, it is typically not considered painful.</p> Signup and view all the answers

Which type of snapping hip syndrome is most likely to cause consistent pain?

<p>Intra-articular snapping hip syndrome is most likely to be consistently painful.</p> Signup and view all the answers

What acronym summarizes the four structures affected by internal snapping hip syndrome?

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

What is the most common site of snapping hip syndrome and the reason for its commonality?

<p>The iliopsoas tendon, because it slips over its attachment at the lesser trochanter or anterior acetabular ring.</p> Signup and view all the answers

What pathology is associated with the iliofemoral ligament sliding over the femoral head?

<p>Internal snapping hip syndrome.</p> Signup and view all the answers

At what angle does the iliofemoral ligament primarily snap over the femoral head, and during which movements?

<p>At 45 degrees, moving from flexion to extension.</p> Signup and view all the answers

How does the position of the hip affect the snapping of the iliofemoral ligament?

<p>The snapping is worsened when the hip is abducted and externally rotated.</p> Signup and view all the answers

What are the four structures affected by internal snapping hip syndrome represented by the acronym HIII?

<p>Hamstring syndrome, Iliopsoas tendon, Iliofemoral ligament, Iliopsoas bursal/capsular thickening.</p> Signup and view all the answers

Why is the iliopsoas tendon considered the most common site of snapping hip syndrome?

<p>Because it slips over its attachment at the lesser trochanter or anterior acetabular ring.</p> Signup and view all the answers

Identify the structure that the iliofemoral ligament slides over, causing internal snapping hip syndrome.

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

At what angle does the iliofemoral ligament primarily snap over the femoral head, and during what movements is this most pronounced?

<p>At 45 degrees, during movement from FLEX to EXT.</p> Signup and view all the answers

What hip positions exacerbate the snapping movement of the iliofemoral ligament?

<p>When the hip is ABD and ER.</p> Signup and view all the answers

Which structure is most commonly affected by internal snapping hip syndrome?

<p>Iliopsoas tendon (D)</p> Signup and view all the answers

The iliofemoral ligament causes snapping by sliding over the femoral head.

<p>True (A)</p> Signup and view all the answers

What is the angle of movement during which snapping of the iliofemoral ligament occurs?

<p>45 degrees</p> Signup and view all the answers

The structures affected with internal snapping hip syndrome can be remembered by the acronym _____ (HIII).

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

Match the following structures related to internal snapping hip syndrome with their descriptions:

<p>Hamstring syndrome = Pain along the back of the thigh Iliopsoas tendon = Tendon slipping over the lesser trochanter Iliofemoral ligament = Ligament that stabilizes the hip joint Iliopsoas bursal thickening = Inflammation in the hip region</p> Signup and view all the answers

Which of the following structures is NOT affected by internal snapping hip syndrome?

<p>Tendons (C)</p> Signup and view all the answers

Synovial chondromalacias are affected by internal snapping hip syndrome.

<p>True (A)</p> Signup and view all the answers

What does the acronym CLLSD stand for in relation to internal snapping hip syndrome?

<p>Capsular instability, Labral or ligamentum tears, Loose bodies, Synovial chondromalacias, Displaced fractures</p> Signup and view all the answers

Among the structures affected by internal snapping hip syndrome, loose bodies may include ______.

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

Match the structures with their descriptions affected by internal snapping hip syndrome:

<p>Capsular instability = Weakening of the joint capsule Labral tears = Damage to the cartilage in the hip joint Loose bodies = Small fragments that can float in the joint Synovial chondromalacias = Softening of the cartilage lining the joint Displaced fractures = Fractures where the bone is out of alignment</p> Signup and view all the answers

Displaced fractures are one of the five structures affected by internal snapping hip syndrome.

<p>True (A)</p> Signup and view all the answers

Name one structure that is affected by internal snapping hip syndrome.

<p>Capsular instability</p> Signup and view all the answers

Internal snapping hip syndrome can be characterized by issues with the ______ bodies, such as osteophytes.

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

Match the structures affected by internal snapping hip syndrome with their descriptions:

<p>Capsular instability = Weakening of the hip joint capsule Labral or ligamentum tears = Tears in the cartilage or ligament in the hip joint Loose bodies = Fragments like osteophytes found in the joint Synovial chondromalacias = Softening of the cartilage lining the joint Displaced fractures = Breaks in the bone that change alignment</p> Signup and view all the answers

How does the end feel differ between a loose body and a labral tear in intra-articular snapping hip syndrome?

<p>A loose body presents with a bone-on-bone feel, while a labral tear offers a springy block sensation.</p> Signup and view all the answers

What are the three most common pain referral locations associated with intra-articular hip syndrome?

<p>Groin, anterior hip, and anterior thigh.</p> Signup and view all the answers

What is the name of the deep pain sign characteristic of intra-articular snapping hip syndrome?

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

Which activity is most likely to provoke snapping hip syndrome?

<p>Pivoting or standing on the affected leg.</p> Signup and view all the answers

What three ranges of motion (ROM) are most affected by snapping hip syndrome?

<p>Extension (EXT), adduction (ADD), and external rotation (ER).</p> Signup and view all the answers

What might be required to rule out intra-articular pathologies associated with snapping hip syndrome?

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

What is the primary focus when addressing sources of internal and external snapping hip syndrome?

<p>Basic mechanics.</p> Signup and view all the answers

What is the primary difference between the end feel of a loose body and a labral tear in intra-articular snapping hip syndrome?

<p>A loose body presents with a bone-on-bone end feel, while a labral tear has a springy block end feel.</p> Signup and view all the answers

List the three most common locations where a patient might refer pain associated with intra-articular hip syndrome.

<p>The groin, anterior hip, and anterior thigh.</p> Signup and view all the answers

What is the name of the deep pain sign associated with intra-articular snapping hip syndrome?

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

Which ADL-like movement is most likely to provoke snapping hip syndrome?

<p>Pivoting or standing on the affected leg.</p> Signup and view all the answers

What diagnostic tool is essential for ruling out intra-articular and internal bursa pathologies?

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

What essential aspect should be targeted to address the sources of internal and external snapping hip syndrome?

<p>Basic mechanics.</p> Signup and view all the answers

What is the primary symptom differentiating a loose body from a labral tear in intra-articular snapping hip syndrome?

<p>Springy block feel (A), Bone-on-bone feel (D)</p> Signup and view all the answers

The C sign indicates superficial pain associated with intra-articular snapping hip syndrome.

<p>False (B)</p> Signup and view all the answers

Name one of the three common areas where patients report pain in intra-articular hip syndrome.

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

A deep pain sign associated with intra-articular snapping hip syndrome is called the ______ sign.

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

Which of the following movements most provokes snapping hip syndrome?

<p>Pivoting and standing on the affected leg (D)</p> Signup and view all the answers

Match the hip ROM affected with snapping hip syndrome to their respective actions:

<p>EXT = Extension ADD = Adduction ER = External Rotation</p> Signup and view all the answers

What may be required to rule out intra-articular and internal bursa issues?

<p>Imaging (B)</p> Signup and view all the answers

What could be the reason for positive results in the special tests related to snapping hip syndrome?

<p>Impaired mobility (A)</p> Signup and view all the answers

Mobility restrictions are not associated with positive special tests in snapping hip syndrome.

<p>False (B)</p> Signup and view all the answers

What are the associated conditions that might lead to positive special test results in snapping hip syndrome?

<p>Mobility restrictions</p> Signup and view all the answers

Positive special tests for snapping hip syndrome may indicate associated __________ restrictions.

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

Match the following conditions with their associated implications:

<p>Snapping hip syndrome = Associated with mobility restrictions Bursitis = Inflammation of the bursa Tendinopathy = May occur alongside bursitis Crepitus = Noise during movement due to muscle attachments</p> Signup and view all the answers

Flashcards

Bursitis definition

Inflammation of a fluid-filled sac (bursa) around a tendon, muscle, or ligament.

Mechanical bursitis

Bursitis caused by repetitive movement.

Ischial bursitis MOI

Cause is often movement or pressure on the ischial tuberosity.

Septic bursitis

Bursitis caused by an infection.

Signup and view all the flashcards

Primary bursitis type course focus

Mechanical bursitis is the primary focus.

Signup and view all the flashcards

Ischial Bursitis

Inflammation of the bursa located near the sit bone (ischial tuberosity).

Signup and view all the flashcards

Chemical Bursitis

Bursitis caused by irritation from substances like chemicals or medications.

Signup and view all the flashcards

Course Focus on Bursitis

This course primarily focuses on mechanical bursitis.

Signup and view all the flashcards

What is bursitis?

Inflammation of the fluid-filled sac (bursa) surrounding a tendon, muscle, or ligament.

Signup and view all the flashcards

Ischial bursitis - Mechanical

Caused by excessive movement or pressure on the ischial tuberosity.

Signup and view all the flashcards

Ischial bursitis - Chemical

Caused by irritation from substances like chemicals or medications.

Signup and view all the flashcards

Ischial bursitis - Septic

Caused by an infection.

Signup and view all the flashcards

Course Focus

This course primarily focuses on mechanical ischial bursitis.

Signup and view all the flashcards

What are 3 signs of bursitis?

The most common signs of bursitis are limited range of motion (ROM), tenderness on palpation (TOP), and antalgic gait.

Signup and view all the flashcards

Why is redness a red flag for bursitis?

Redness in bursitis suggests an infection (septic bursitis), which can spread to the bloodstream causing serious problems.

Signup and view all the flashcards

Acute bursitis pain?

Acute bursitis is often not painful. Pain is more likely due to the initial injury causing the bursitis.

Signup and view all the flashcards

What's the most common painful bursitis type?

Acute bursitis is the type most frequently associated with pain.

Signup and view all the flashcards

Swelling and heat in bursitis?

Swelling and heat are common in acute bursitis, but not in chronic bursitis.

Signup and view all the flashcards

Local or global symptoms?

Swelling, pain, and warmth associated with bursitis are typically local, concentrated in the affected area.

Signup and view all the flashcards

Antalgic gait: Acute or chronic?

An antalgic gait (limping) is more commonly observed in chronic bursitis.

Signup and view all the flashcards

Bursitis Pain & Cause

Acute bursitis itself isn't often painful. Pain usually arises from the initial injury, like a direct blow or fall, that caused the bursitis.

Signup and view all the flashcards

Common Bursitis Signs

Three common signs of bursitis are limited range of motion (ROM), tenderness on palpation (TOP), and an antalgic gait.

Signup and view all the flashcards

Redness: The Big Red Flag

Redness in bursitis is a major concern because it indicates an infection (septic bursitis), which can spread to the bloodstream.

Signup and view all the flashcards

Bursitis Swelling and Heat

Swelling and heat are common in acute bursitis but not in chronic bursitis.

Signup and view all the flashcards

Is Hip Swelling Obvious?

Swelling in the hip isn't always easily visible.

Signup and view all the flashcards

Rebound Pain & Bursitis

Rebound pain is not a reliable indicator of bursitis. It's more commonly associated with visceral conditions.

Signup and view all the flashcards

What's the red flag for bursitis?

Redness is the biggest red flag for bursitis. It suggests an infection (septic bursitis), which can spread to the bloodstream and become dangerous.

Signup and view all the flashcards

What are 3 common bursitis signs?

Three common signs of bursitis are limited range of motion (ROM), tenderness on palpation (TOP), and an antalgic gait (limping).

Signup and view all the flashcards

Is acute bursitis often painful?

Acute bursitis itself isn't often painful. Pain usually arises from the initial injury, like a direct blow or fall, that caused the bursitis.

Signup and view all the flashcards

What kind of bursitis is painful?

Acute bursitis is the type most frequently associated with pain.

Signup and view all the flashcards

Where are bursitis symptoms?

Swelling, pain, and warmth associated with bursitis are typically local, concentrated in the affected area.

Signup and view all the flashcards

Trochanteric Bursitis MOIs

The main causes of trochanteric bursitis are repetitive running with inadequate support, abnormal running mechanics leading to increased hip adduction, and a combination of a wide pelvis and genu valgum resulting in an increased Q angle.

Signup and view all the flashcards

Trochanteric Bursitis: Crepitus?

Crepitus may be present when moving the hip with trochanteric bursitis due to multiple muscle attachments in the area.

Signup and view all the flashcards

Trochanteric Bursitis: Aggravating Movements

Flexion, extension, internal rotation, and external rotation of the hip can aggravate trochanteric bursitis due to the iliotibial band passing over the inflamed bursa.

Signup and view all the flashcards

Ober's Test

Ober's test is a special test useful when movements aggravating trochanteric bursitis elicit pain, helping to assess the iliotibial band's involvement.

Signup and view all the flashcards

Trochanteric Bursitis and Tendinopathy

There is a high chance of having tendinopathy in the same area as trochanteric bursitis.

Signup and view all the flashcards

What is trochanteric bursitis?

Trochanteric bursitis is inflammation of the bursa located near the greater trochanter of the femur.

Signup and view all the flashcards

Aggravating Movements in Trochanteric Bursitis

Flexion, extension, internal rotation, and external rotation of the hip can aggravate trochanteric bursitis due to the iliotibial band passing over the inflamed bursa.

Signup and view all the flashcards

Tendonopathy and Bursitis

There is a high chance of having tendinopathy in the same area as trochanteric bursitis.

Signup and view all the flashcards

What are the 3 MOIs for trochanteric bursitis?

The most common causes of trochanteric bursitis are repetitive running with inadequate support, abnormal running mechanics leading to increased hip adduction, and a combination of a wide pelvis and genu valgum resulting in an increased Q angle.

Signup and view all the flashcards

Crepitus with Trochanteric Bursitis

A crackling or popping sound (crepitus) may be present when moving the hip with trochanteric bursitis due to the inflammation and irritation of the bursa and surrounding tissues.

Signup and view all the flashcards

Aggravating Movements

Flexion, extension, internal rotation, and external rotation of the hip can all aggravate trochanteric bursitis due to the iliotibial (IT) band passing over the inflamed bursa.

Signup and view all the flashcards

Ischial Bursitis: What's the most common acute cause?

The most common way people get ischial bursitis suddenly is by falling directly onto their sit bone (ischial tuberosity).

Signup and view all the flashcards

Ischial Bursitis: What's the most common CHRONIC cause?

Chronic ischial bursitis usually develops from repetitive stress on the sit bone, caused by sitting with the lower limb moving, such as cycling, rowing, or playing basketball.

Signup and view all the flashcards

Ischial Bursitis: Which 2 ROMs are most affected?

Ischial bursitis is primarily located near the sit bone, so movements like hip flexion (bending forward) and hip extension (straightening backward) are most often limited.

Signup and view all the flashcards

Ischial Bursitis: Which 2 muscle groups are affected?

Ischial bursitis impacts the muscles that attach near the sit bone: the hamstrings and the gluteal muscles.

Signup and view all the flashcards

Tendon at the Ischial Tuberosity

The hamstring tendon attaches to the ischial tuberosity, which is the bony part of the pelvis you sit on.

Signup and view all the flashcards

Ischial Bursitis - Most Common Acute Cause?

The most common way people get ischial bursitis suddenly is by falling directly onto their sit bone (ischial tuberosity).

Signup and view all the flashcards

Ischial Bursitis - Most Common Chronic Cause?

Chronic ischial bursitis usually develops from repetitive stress on the sit bone, caused by sitting with the lower limb moving, such as cycling, rowing, or playing basketball.

Signup and view all the flashcards

Ischial Bursitis - Affected ROMs

Ischial bursitis is primarily located near the sit bone, so movements like hip flexion (bending forward) and hip extension (straightening backward) are most often limited.

Signup and view all the flashcards

Ischial Bursitis - Affected Muscle Groups

Ischial bursitis impacts the muscles that attach near the sit bone: the hamstrings and the gluteal muscles.

Signup and view all the flashcards

What Tendon Attaches to the Ischial Tuberosity?

The large hamstring tendon attaches to the ischial tuberosity, which is the bony part of the pelvis you sit on.

Signup and view all the flashcards

What is the most common acute MOI for ischial bursitis?

The most common acute cause of ischial bursitis is falling directly onto the ischial tuberosity.

Signup and view all the flashcards

What is the most common chronic MOI for ischial bursitis?

Repetitive stress on the ischial tuberosity due to activities like cycling, rowing, or basketball, where you sit with your lower limb moving, can cause chronic ischial bursitis.

Signup and view all the flashcards

Which 2 ROMs are most affected by ischial bursitis?

Hip flexion and hip extension are the ranges of motion most affected by ischial bursitis because the bursa is located close to the ischial tuberosity.

Signup and view all the flashcards

Which 2 muscle groups are most affected by ischial bursitis?

The hamstring and gluteal muscle groups are most affected by ischial bursitis because they attach near the ischial tuberosity.

Signup and view all the flashcards

Internal Snapping Hip Syndrome Structures

Internal snapping hip syndrome involves three structures: the posterior iliotibial band, the anterior gluteus maximus, and the trochanteric bursa. These structures can snap over the bony prominence of the hip, causing a snapping sensation.

Signup and view all the flashcards

Snapping Hip Syndrome: Symptom or Pathology?

Snapping hip syndrome is not a disease or a pathology. It is a symptom. It describes a snapping sensation in the hip joint, often caused by the interaction of muscles, tendons, or bursae.

Signup and view all the flashcards

What is the trochanteric bursa?

The trochanteric bursa is a fluid-filled sac located near the greater trochanter of the femur (thigh bone). It acts as a cushion between the tendons and the bone, reducing friction during movement.

Signup and view all the flashcards

What are the causes of trochanteric bursitis?

Trochanteric bursitis is inflammation of the trochanteric bursa. Common causes include repetitive running with inadequate support, abnormal running mechanics, and a combination of a wide pelvis and genu valgum (knock-knees).

Signup and view all the flashcards

What are some signs of trochanteric bursitis?

Signs of trochanteric bursitis can include pain with hip movement, tenderness near the greater trochanter, and a clicking or snapping sensation. It can be aggravated by movements like hip flexion, extension, and rotation.

Signup and view all the flashcards

What is internal snapping hip syndrome?

Internal snapping hip syndrome happens when structures around your hip joint, like tendons and the iliotibial band, ‘snap’ over a boney part of your hip as you move. It's more of a symptom than a specific disease.

Signup and view all the flashcards

What are the 3 structures involved in snapping hip syndrome?

The three main structures that can snap in internal snapping hip syndrome are the posterior iliotibial band, the anterior gluteus maximus, and the trochanteric bursa.

Signup and view all the flashcards

Is snapping hip syndrome a disease?

No, snapping hip syndrome isn't a disease itself. It's a symptom, like a click or a snap, that happens with hip movement. It's caused by other things, like inflammation or tendon tightness.

Signup and view all the flashcards

What causes trochanteric bursitis?

Trochanteric bursitis happens when the trochanteric bursa gets inflamed, usually from overuse activities like running. It can also be caused by poor running form or even bone structure issues.

Signup and view all the flashcards

TAP

Internal snapping hip syndrome affects three structures: the Posterior iliotibial band, Anterior gluteus maximus, and Trochanteric bursa.

Signup and view all the flashcards

What is affected in internal snapping hip syndrome?

The three structures involved in internal snapping hip syndrome are the posterior iliotibial band, the anterior gluteus maximus, and the trochanteric bursa.

Signup and view all the flashcards

Trochanteric bursitis: common causes

Trochanteric bursitis is inflammation of the trochanteric bursa. Common causes include repetitive running with inadequate support, abnormal running mechanics, and a combination of a wide pelvis and genu valgum.

Signup and view all the flashcards

Snapping hip syndrome and bursitis

Snapping hip syndrome can happen with trochanteric bursitis, as the trochanteric bursa is one of the structures that can snap over the bony prominence.

Signup and view all the flashcards

Snapping Hip Syndrome Location

Snapping hip syndrome typically involves a deep snapping sensation in the hip joint, not a superficial one.

Signup and view all the flashcards

Snapping Hip Syndrome: Painful?

Snapping hip syndrome itself is often not painful, but consistently painful snapping suggests intra-articular (inside the joint) snapping.

Signup and view all the flashcards

IT Band in Snapping Hip Syndrome

The iliotibial band (IT band) is one of the structures that can snap over the hip bone in internal snapping hip syndrome, causing a snapping sensation.

Signup and view all the flashcards

Where is snapping hip syndrome pain?

The pain from snapping hip syndrome is typically felt deep within the hip joint, not superficially.

Signup and view all the flashcards

What causes internal snapping hip syndrome?

Internal snapping hip syndrome occurs when structures like the iliotibial band or the gluteus maximus muscle snap over the hip bone during movement.

Signup and view all the flashcards

Is snapping hip syndrome always painful?

While snapping hip syndrome often isn't painful, consistently painful snapping can indicate intra-articular snapping, which involves structures inside the hip joint.

Signup and view all the flashcards

Snapping hip syndrome: Where's the pain?

Pain from snapping hip syndrome is typically felt deep within the hip joint, not superficially.

Signup and view all the flashcards

Snapping hip syndrome: Location of pain?

The pain from snapping hip syndrome is typically felt deep within the hip joint, not superficially.

Signup and view all the flashcards

Internal Snapping Hip Syndrome

A condition where structures around the hip joint, like tendons and the iliotibial band, 'snap' over a bony part of the hip during movement. This causes a snapping sensation, but it's not a disease itself.

Signup and view all the flashcards

Structures affected in Internal Snapping Hip Syndrome

The iliopsoas tendon, iliofemoral ligament, and iliopsoas bursal/capsular thickening are all structures that can be affected by internal snapping hip syndrome.

Signup and view all the flashcards

Most common site for Snapping Hip Syndrome

The iliopsoas tendon is the most common site for snapping hip syndrome, because it can slip over its attachment at the lesser trochanter or the anterior acetabular ring.

Signup and view all the flashcards

Iliofemoral ligament snapping

The iliofemoral ligament can slide over the femoral head, causing a pathology associated with internal snapping hip syndrome.

Signup and view all the flashcards

Iliofemoral ligament snapping angle

Snapping of the iliofemoral ligament over the femoral head primarily occurs at a 45-degree angle, when moving from flexion to extension. This movement is worsened when the hip is abducted and externally rotated.

Signup and view all the flashcards

Most Common Snapping Hip Structure

The iliopsoas tendon is the most frequent structure involved in snapping hip syndrome. This happens as the tendon slides over its attachment at the lesser trochanter or the front rim of the hip socket (anterior acetabular ring).

Signup and view all the flashcards

What Does the Iliofemoral Ligament Snap Over?

The iliofemoral ligament in snapping hip syndrome slides over the femoral head (the top of the thigh bone) causing a snapping sensation.

Signup and view all the flashcards

Snapping Hip Syndrome: Painful or Not?

Snapping hip syndrome is not usually painful. However, consistent painful snapping might indicate snapping within the joint itself (intra-articular snapping).

Signup and view all the flashcards

Structures affected by internal snapping hip

Internal snapping hip syndrome affects 4 structures: the iliopsoas tendon, iliofemoral ligament, iliopsoas bursa, and capsular thickening.

Signup and view all the flashcards

Most common site for snapping hip

The iliopsoas tendon is the most common site for snapping hip, as it slides over its attachment at the lesser trochanter or the anterior acetabular ring.

Signup and view all the flashcards

Worse position for iliofemoral ligament snapping

The snapping of the iliofemoral ligament over the femoral head is worse during flexion to extension at 45 degrees, particularly with hip abduction and external rotation.

Signup and view all the flashcards

What are the 5 structures affected by Internal Snapping Hip Syndrome?

Internal Snapping Hip Syndrome affects 5 structures: capsular instability, labral or ligamentum tears, loose bodies like osteophytes, synovial chondromalacia, and displaced fractures.

Signup and view all the flashcards

Capsular Instability

Capsular instability refers to a weakened or stretched hip joint capsule, which allows for abnormal movement and can contribute to a snapping sensation.

Signup and view all the flashcards

Labral or Ligamentum Tears

Tears in the labrum (cartilage around the hip socket) or ligaments can create loose fragments that can snap over bony structures causing a snapping sensation.

Signup and view all the flashcards

Loose Bodies

Loose bodies, such as osteophytes (bone spurs) or fragments from osteoarthritis (OA) or femoroacetabular impingement (FAI), can move within the joint and cause snapping.

Signup and view all the flashcards

Synovial Chondromalacia

Synovial chondromalacia is a condition where the cartilage lining the joint surface softens and deteriorates, leading to loose fragments that can snap.

Signup and view all the flashcards

What 5 structures are affected by Internal Snapping Hip Syndrome?

The 5 structures affected by Internal Snapping Hip Syndrome are: Capsular instability, Labral or ligamentum tears, Loose bodies, Synovial chondromalacia, and Displaced fractures.

Signup and view all the flashcards

Loose Bodies in the Hip

Loose bodies, such as bone spurs or fragments from osteoarthritis or femoroacetabular impingement, can move within the joint and cause snapping.

Signup and view all the flashcards

Snapping Hip End Feel

Differentiate snapping hip syndrome caused by a loose body vs. a labral tear by the end feel. Loose bodies present with a bone-on-bone end feel, while a labral tear feels more springy.

Signup and view all the flashcards

Common Snapping Hip Pain Locations

Patients with snapping hip syndrome usually report pain in three areas: groin, anterior hip, and anterior thigh.

Signup and view all the flashcards

Deep Pain Sign (Snapping Hip)

A "C sign" is a deep pain indicator present with intra-articular snapping hip syndrome.

Signup and view all the flashcards

Movement Provoking Snapping Hip

Pivoting or standing on the affected leg often provokes snapping hip syndrome.

Signup and view all the flashcards

ROM Most Affected (Snapping Hip)

Extension, adduction, and external rotation are the hip ranges of motion most affected by snapping hip syndrome.

Signup and view all the flashcards

Imaging for Snapping Hip

Imaging studies are often needed to rule out intra-articular and internal bursitis with snapping hip syndrome.

Signup and view all the flashcards

Pelvis Goal (Snapping Hip)

When examining a patient with snapping hip, assess how well the pelvis controls movement to understand how the hip joint is functioning within the larger framework.

Signup and view all the flashcards

What differentiates a snapping hip from a loose body vs. labral tear?

The end feel: a loose body feels bone-on-bone, while a labral tear feels springy.

Signup and view all the flashcards

Most common snapping hip pain locations

Groin, anterior hip, and anterior thigh.

Signup and view all the flashcards

What is the deep pain sign for intra-articular snapping hip?

A 'C' sign.

Signup and view all the flashcards

What are the 3 most affected hip ROMs in snapping hip syndrome?

Extension, adduction, and external rotation.

Signup and view all the flashcards

What needs to be addressed to control internal and external snapping hip syndrome?

Basic mechanics.

Signup and view all the flashcards

What should you look for regarding the pelvis during assessment?

How well it controls.

Signup and view all the flashcards

Differentiate intra-articular snapping hip

A loose body in the hip joint will cause a bone-on-bone end feel, while a labral tear will have a springy end feel.

Signup and view all the flashcards

Common pain locations for snapping hip

Patients typically report pain in the groin, anterior hip, and anterior thigh.

Signup and view all the flashcards

Deep pain sign for snapping hip?

The "C sign" indicates deep pain, often present with intra-articular snapping hip syndrome.

Signup and view all the flashcards

Movement that worsens snapping hip?

Pivoting or standing on the affected leg can strongly provoke snapping hip syndrome.

Signup and view all the flashcards

ROM limitations with snapping hip

Extension, adduction, and external rotation of the hip are commonly limited.

Signup and view all the flashcards

Imaging for ruling out snapping causes

Imaging (like X-rays or an MRI) is often needed to rule out intra-articular and internal bursa issues.

Signup and view all the flashcards

What to target for snapping hip treatment?

Basic mechanics, such as muscle imbalances and joint stability, are key targets for addressing snapping symptoms.

Signup and view all the flashcards

Study Notes

Ischial Bursitis

  • Inflammation of the fluid-filled sac surrounding a tendon, muscle, or ligament.
  • Three primary mechanisms of injury (MOIs):
    • Mechanical: Movement is the cause.
    • Chemical: (Not discussed in this context).
    • Septic: Infectious, often a result of an acute injury.
  • The course primarily focuses on mechanical bursitis.

Studying That Suits You

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

Quiz Team

Description

This quiz covers the basics of ischial bursitis, focusing on the inflammation of the fluid-filled sac that surrounds tendons, muscles, or ligaments. It highlights the primary mechanisms of injury, particularly the mechanical causes. Test your understanding of these concepts and their implications.

More Like This

Anatomy: Prefix of Ischial
6 questions
Use Quizgecko on...
Browser
Browser