Special Tests for Hamstring Strain and Snapping Hip Conditions

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Questions and Answers

What is the order of occurrence in groin strain or tear injuries?

  • adductor magnus, adductor longus, pectineus, adductor brevis
  • adductor brevis, pectineus, adductor magnus, adductor longus
  • pectineus, adductor longus, adductor brevis, adductor magnus
  • adductor longus, adductor magnus, adductor brevis, pectineus (correct)

Which injury can be commonly missed in patients with groin strain?

  • metatarsal fracture
  • hernia (femoral) (correct)
  • meniscus tear
  • rotator cuff tear

What is the main mechanism of injury for hamstring strain?

  • overstretching of the hamstrings (correct)
  • rapid changes of direction
  • forceful abduction of the thigh
  • hyperextension of the knee

Which test is specifically used to assess for acetabular labral tears?

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

What is the main characteristic feature of a snapping hip condition?

<p>Audible or palpable snap during hip movement (A)</p> Signup and view all the answers

Which of the following is the most likely cause of the patient's lateral hip pain?

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

What is the mechanism of injury most likely responsible for the patient's snapping hip?

<p>Repetitive hip abduction and external rotation (C)</p> Signup and view all the answers

Which of the following physical examination findings would be most indicative of an acetabular labral tear?

<p>Presence of pain with hip flexion, abduction, and external rotation (C)</p> Signup and view all the answers

Which of the following is the most likely mechanism of injury for a hamstring strain?

<p>Sudden, forceful hip extension (C)</p> Signup and view all the answers

What is the primary physical examination finding that would help differentiate between an external and internal snapping hip?

<p>Reproduction of snapping with passive hip internal and external rotation (C)</p> Signup and view all the answers

Which of the following is the most common mechanism of injury for a groin strain or tear?

<p>Sudden change in direction while running or quick stopping and starting (B)</p> Signup and view all the answers

Which of the following is a characteristic symptom of a grade 3 groin strain or tear?

<p>Marked muscle weakness and loss of function (B)</p> Signup and view all the answers

Which of the following special tests is commonly used to assess for a groin strain or tear?

<p>Resisted hip adduction test (B)</p> Signup and view all the answers

If a patient presents with medial thigh pain that is better with rest and a tearing or stabbing sensation during a sudden change in direction while running, what is the most likely diagnosis?

<p>Groin strain or tear (D)</p> Signup and view all the answers

During the physical examination of a suspected groin strain or tear, which of the following findings would be expected?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is the most common cause of snapping hip?

<p>ITB, gluteus medius/maximus or TFL snapping over the greater trochanter (B)</p> Signup and view all the answers

Which of the following physical examination tests is most useful for diagnosing an acetabular labral tear?

<p>FABER (Flexion, ABduction, and External Rotation) test (A)</p> Signup and view all the answers

Which of the following is the most common mechanism of injury for a groin strain?

<p>Sudden change of direction (C)</p> Signup and view all the answers

Which of the following is the most common mechanism of injury for a hamstring strain?

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

Which special test is best used to assess for muscle tightness of the flexors of hip in patients with snapping hip?

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

Which test is most indicative of acetabular labral tear when a patient presents with increased pain secondary to the pull of the rectus femoris muscle on the labral attachment?

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

In Hip Degenerative Joint Disease, which symptom is commonly associated with advanced stages of the condition?

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

Which special test is specifically used to assess for sacroiliac pathology and hip lesions?

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

Which special test would be most useful in patients with Myositis Ossificans experiencing radicular leg or buttock pain?

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

Which of the following is the most likely underlying cause of an intra-articular snapping hip?

<p>Labral tear or loose bodies within the hip joint (A)</p> Signup and view all the answers

Which special test is most useful for diagnosing an external snapping hip?

<p>Palpation and observation during hip abduction/adduction (D)</p> Signup and view all the answers

Which of the following is the most reliable special test for identifying an internal snapping hip?

<p>Palpation and observation during hip flexion/extension (B)</p> Signup and view all the answers

Which of the following is the most likely underlying cause of hip joint crepitus in a patient with hip degenerative joint disease?

<p>Cartilage degeneration and exposed bone (A)</p> Signup and view all the answers

Which special test would be most useful in differentiating between a hip labral tear and hip osteoarthritis?

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

Which of the following special tests is most useful for differentiating between internal and external snapping hip?

<p>Observing the patient's gait pattern and reproducing the snapping during hip range of motion (D)</p> Signup and view all the answers

Which of the following physical examination findings is most suggestive of external snapping hip?

<p>Tenderness over the proximal lateral thigh and a positive OBERS test (B)</p> Signup and view all the answers

Which of the following is the most likely underlying condition associated with lateral hip pain, positive OBERS test, and external snapping hip?

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

Which of the following physical examination findings is most suggestive of internal snapping hip?

<p>Tenderness over the iliopsoas tendon with anterior pelvic tilt and snapping reproduced with hip flexion ~80* followed by extension or abduction with external rotation (B)</p> Signup and view all the answers

Which of the following is the most appropriate next step in the management of a patient with suspected hip osteoarthritis and external snapping hip?

<p>Prescribe non-steroidal anti-inflammatory drugs (NSAIDs) and physical therapy (C)</p> Signup and view all the answers

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