Shoulder & Hip Patterns

Deep gluteal syndrome – key pattern?

Buttock pain around sciatic notch ± posterior thigh radiation, ± tingling/weakness, Agg: sitting, sciatic stretch positions

FAI – key pattern?

Anterior hip/groin pain, clicking/catching, Agg: flexion + adduction (cross legs, stairs, pivoting, kicking)

Hip OA – key pattern?

Older patient, anterior hip/groin pain, deep ache ± sharp catching, gradual stiffness, ↓ ROM (IR/F)

GTPS (gluteal tendinopathy) – key pattern?

Lateral hip pain over greater trochanter ± down lateral thigh, Agg: lying on side, stairs, single leg load

Deep gluteal syndrome – key exam findings?

± neuro signs, SLR/slump may be +, weak hip abductors, pain on piriformis stretch/contract

FAI – key exam findings?

Painful FADIR, ↓ hip flexion/IR, antalgic gait, poor pelvic control

Hip OA – key exam findings?

Global stiffness, ↓ AROM/PROM esp IR/F, Trendelenburg gait, muscle wasting

GTPS – key exam findings?

Tender GT, pain on SLS/squat/stairs, Trendelenburg, pain with hip abd/IR/ER

Rotator cuff disorder – key pattern?

Lateral shoulder pain, Agg: overhead, lifting, HBB, lying on it, painful arc

Rotator cuff disorder – key exam findings?

Painful arc (70–120°), pain on resisted tests, weak RC ± scap, positive impingement tests

Adhesive capsulitis – key pattern?

40–60yo, gradual onset, severe pain + progressive stiffness, night pain, HBB limited

Adhesive capsulitis – key exam findings?

Global ↓ AROM = PROM, ER most limited, capsular pattern, stiff end feel

Shoulder instability (traumatic) – key pattern?

History of dislocation, “popping out”, FOOSH/abd+ER mechanism, recurrent

Shoulder instability – key exam findings?

Apprehension test +, ↓ ROM (acute), RC weakness, visible deformity if acute

Labral injury – key pattern?

Poorly localised deep shoulder pain, clicking/clunking, weak throwing, overhead athlete

Labral injury – key exam findings?

Full/near full ROM, pain with resisted biceps/labral tests, RC weakness