Term
| What is the most common cause of hip pain? |
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Definition
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Term
| Pt with articular hip disease often complain of pain in the . . . |
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Definition
| groin and anterior hip (inguinal) region |
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Term
| Patients with articular hip disease often note symptoms are worse with ______________ |
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Definition
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Term
| If range of motion is decreased due to articular hip pain, patients will describe difficulty _____________ or ___________ |
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Definition
tying their shoelaces
walking up stairs |
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Term
| In severe cases, patients will walk up stairs _________, using only the unaffected side to ascend or descend stairs. |
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Definition
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Term
| LATERAL hip pain suggests extra-articular causes such as ____________ or ______________ |
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Definition
trochanteric bursitis
tendonitis of hip ABductors |
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Term
| Regarding hip pain, pain in the buttock suggests what ddx? |
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Definition
articular hip disease
lumbosacral spine disease
ischial bursitis
vascular insufficiency |
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Term
| What is considered in the differential for hip pain if the pain is described as DEEP? |
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Definition
renal colic
psoas abscess
PID
osteitis pubis |
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Term
| What is considered in the differential for hip pain if the pain is described as ANTERIOR/INGUINAL? |
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Definition
inguinal hernia
iliopsoas bursitis
renal colic
vascular insufficiency |
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Term
| What is considered in the differential for hip pain if the pain is described as LATERAL? |
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Definition
trochanteric bursitis
tendonitis of the hip abductors
lumbosacral spine disease
meralgia paresthetica |
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Term
| What is the cause of hip pain if symptoms include MORNING STIFFNESS (classically lasting for 1 hr) and IMPROVES WITH ACTIVITY? |
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Definition
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Term
| What is the cause of hip pain if pain is IMPROVED WITH REST, WORSE WITH ACTIVITY, and WORSE AT THE END OF THE DAY? |
|
Definition
degenerative disease
(less commonly - vascular disease) |
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Term
| Change in gait is associated with ________ and not found in __________ |
|
Definition
found in hip problems
not found in back problems |
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Term
| The Straight leg raise maneuver is used to assess for . . . |
|
Definition
| irritation of the nerve roots (usually S1 or L5) such as with a herniated disc |
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Term
| The Trendelenburg test assesses . . . |
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Definition
|
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Term
| Pts with Meralgia Parestheticia with have . . . |
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Definition
| Decreased or heightened sensation in the area of distribution of the lateral cutaneous nerve |
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Term
| What area of the leg is innervated by the LATERAL CUTANEOUS NERVE? |
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Definition
|
|
Term
|
Definition
| avascular necrosis of the femoral head |
|
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Term
| If a pt has decreased flexion of the hip and difficulty with bending over to tie their shoes you should think . . . |
|
Definition
| osteoarthritis of the hip |
|
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Term
| What range of motion is first affected by osteoarthritis? |
|
Definition
INTERNAL ROTATION
ABduction |
|
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Term
| What is the management for osteoarthritis? |
|
Definition
1. Pt ed, tylenol, EXERCISE, wt loss
2. low dose NSAIDs (Ibuprofen 400mg q6)
3. HIGH dose NSAIDs
4. referral for joint surgery |
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Term
| With MERALGIA PARESTHETICA pain is worsened with . . . |
|
Definition
hip EXTENSION
(standing or sleeping) |
|
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Term
| Will MERALGIA PARESTHETICA cause weakness? |
|
Definition
| NO, the LATERAL FEMORAL CUTANEOUS NERVE is senosory only. |
|
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Term
| If a pt has symptoms of Meralgia Paresthetica, but has MOTOR WEAKNESS, what is the cause? |
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Definition
| Lumbosacral spine disease |
|
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Term
| A sense of joint instability ("giving out") or of the knee locking up is also suggestive of a significant ____________. |
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Definition
|
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Term
| The Lachman Test assesses the ______ |
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Definition
|
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Term
| The anterior draw test is used to assess the _______ |
|
Definition
|
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Term
| What is the The Lateral Pivot Shift Test? |
|
Definition
| used to test ACL. the knee rotates slightly as it is extended, screwing into place with full extension. The ACL provides the force for this rotation, and the Lateral Pivot Shift Test assesses this rotation as the knee is extended |
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Term
| The McMurray Test assesses the knee for a __________ |
|
Definition
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Term
| What is Patellofemoral Syndrome? |
|
Definition
| Patellofemoral syndrome refers to a group of disorders that result in knee pain, which are due to either abnormality in the patellofemoral alignment, surrounding soft tissues, or leg malalignment relative to the thigh |
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Term
| What ultimately causes Patellofemoral Syndrome? |
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Definition
| extension of the knee will result in repetitive injury as the patella tracks abnormally. Because knee extension (and contraction of the quadriceps muscles) results in this injury, precipitating activities include running, jumping, ascending or descending stairs, and squatting |
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Term
| When will pts typically complain of worsening pain with Patellofemoral Syndrome? |
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Definition
| when they have been sitting for extended periods of time (moviegoer's sign) |
|
|
Term
| What relieves the pain of Patellofemoral Syndrome? |
|
Definition
|
|
Term
| What is the tx for Patellofemoral Syndrome? |
|
Definition
| Treatment includes avoidance of precipitating activities, NSAIDs, and physical therapy. Physical therapy is aimed at quadriceps strengthening |
|
|
Term
|
Definition
| Patellar tendonitis (this is differentiated from patellofemoral syndrome, because sitting does not make pain worse with this syndrome) |
|
|
Term
| LATERAL KNEE PAIN made worse with RUNNING |
|
Definition
|
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Term
| What is Iliotibial band syndrome? |
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Definition
| also known as runner's knee, results from friction as the iliotibial band runs over the lateral femoral condyle. Both running and cycling are risk factors for the development of iliotibial band syndrome, which is also seen in military personnel who do a lot of marching |
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Term
| What is the tx for Iliotibial band syndrome? |
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Definition
| rest and NSAIDs; occasionally stretching exercises are useful |
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Term
| What is ANSERINE BURSITIS? |
|
Definition
| The anserine bursa lies between the medial collateral ligament and the overlying tendons of the sartorius, gracilis and semitendinosus muscles |
|
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Term
| Who gets Anserine Bursitis? |
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Definition
| Swimmers and runners may develop anserine bursitis due to repetitive injury, and present with pain and tenderness over the medial aspect of the upper tibia |
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