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Special Tests for Hamstring Strain and Snapping Hip Conditions
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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</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</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</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</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</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</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</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</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</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</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</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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

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

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