Orthopedic Examination and Femoro-Acetabular Impingement

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Questions and Answers

What symptom is commonly associated with Femoro-Acetabular Impingement (FAI)?

Dull deep pain in the anterior hip or groin area (correct)

Excessive range of motion in the hip

Sharp pain in the shoulder

Swelling in the shoulder joint

Which of the following best describes the pathophysiology of Femoro-Acetabular Impingement?

Premature contact between the acetabulum and proximal femur (correct)

Complete dislocation of the femur

Overextension of the shoulder joint

Hypertrophy of shoulder musculature

Tenderness on palpation is observed in which condition?

Shoulder dislocation

Rotator cuff tear

Fractured humerus

Femoro-Acetabular Impingement (FAI) (correct)

What does 'AROM' refer to in the context of shoulder and hip assessments?

Active Range of Motion Signup and view all the answers

In which area would you expect a patient with FAI to report pain?

Anterior hip or groin Signup and view all the answers

What is a characteristic feature of shoulder dislocation?

Visible deformity of the shoulder Signup and view all the answers

What is the primary cause of pain in femoro-acetabular impingement?

Contact between the proximal femur and acetabulum Signup and view all the answers

Which of the following describes Cam morphology?

Bony bump at the femoral head-neck junction Signup and view all the answers

Which of the following symptoms may be associated with femoro-acetabular impingement?

Locking or clicking sensations Signup and view all the answers

What is the main characteristic of pincer morphology?

Acetabular over-coverage or retroversion Signup and view all the answers

Which activities could potentially cause impingement in femoro-acetabular dysplasia?

Activities involving deep hip flexion Signup and view all the answers

What impact does a hip movement disorder have on the morphology of the hip?

It can lead to abnormal contact between femur and acetabulum Signup and view all the answers

Chronic hip impingement may lead to which consequence if not addressed?

Injury to the femoral head Signup and view all the answers

Which of the following is a common misconception regarding femoro-acetabular impingement symptoms?

They are present only during physical activity Signup and view all the answers

Which clinical sign is indicative of adductor-related groin pain?

Adductor tenderness AND pain on RSC Signup and view all the answers

What is a characteristic of iliopsoas-related groin pain?

Pain on hip flexion during RSC Signup and view all the answers

Inguinal-related groin pain is characterized by which of the following?

Pain located in the inguinal canal region Signup and view all the answers

What symptom is not associated with iliopsoas-related groin pain?

Tenderness in the inguinal area Signup and view all the answers

Which of the following best describes the testing procedures for adductor-related clinical patterns?

Assessing for hip pain during RSC Signup and view all the answers

Which is a common symptom of groin pain related to the adductor muscle?

Adductor tenderness AND pain on RSC Signup and view all the answers

Study Notes

Orthopedic Examination (OE)

Cluster of symptoms includes O'briens test, crank test, and biceps load II.
Active Range of Motion (AROM) remains largely intact.
Tenderness observed upon palpation of the affected area.

Femoro-Acetabular Impingement (FAI)

Characterized by symptomatic premature contact between acetabulum and proximal femur.
Patients may report a dull deep pain in the anterior hip or groin area.
Hip morphology can cause a movement disorder, leading to painful contact between femur and acetabulum due to abnormal anatomy.
Clinically recognized types:
- Cam morphology: identifiable bony bump at femoral head-neck junction.
- Pincer morphology: over-coverage of acetabulum or femoral retroversion.
- Mixed morphology: presence of both cam and pincer characteristics.
Symptoms may include joint locking, clicking, or catching sensations during movement.
Activities that exacerbate impingement symptoms should be noted; specific movements may provoke pain.
Positive pain provocation with FABER (Flexion, ABduction, External Rotation) and Ober's tests signal underlying issues.

Groin Pain

Adductor-related groin pain characterized by tenderness and discomfort during resisted strength testing (RSC) of adductors.
Iliopsoas-related pain is assessed through hip flexion resistance and noted during the Thomas test.
Inguinal-related pain presents as tenderness in the inguinal canal region with no visible palpable hernia.

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Description

This quiz focuses on the clinical aspects of orthopedic examinations and femoro-acetabular impingement (FAI). You will explore the symptoms, diagnostic tests, and types of FAI morphology, including cam, pincer, and mixed types. Test your knowledge on the implications of AROM and the associated movement disorders.