Hip presentation S&S

fractures symptoms

severe groin and anterior thigh pain

fracture physical exam

• shortening of LE

• painful squat, AROM/PROM, weakness with strength

what does AVN lead to?

degenerative arthropathy

AVN symptoms

deep groin, buttock, knee pain (obturator N)

AVN physical exam

limited squat, AROM/PROM (IR), resistive testing

AVN prognostic indicators

extent of lesion

location

bone marrow edema present

OA symptoms

• dull vs sharp buttock, groin, thigh, knee pain

• C sign

• stiffness

• difficulty donning pants/socks/shoes

  • stair ambulation limits

OA physical exam

• limited AROM/PROM (IR>flex>abd)

• scower +

• hypomobility and pain with resistive test

labral S/S

groin, ant thigh, combo of sharp and dull, night pain, mechanical S&S

FAI symps

• sharp, deep anterior hip pain

• limits with squat, lateral movements, IR

• possible ER pain with more extensive

FAI exam

hip flex, abd, IR

FABER and FADDIR

MRA/MRI to measure alpha angle

loose bodies symps

anterior, groin pain

catching, clicking, etc

sudden pain with WB

loose bodies exam

limited ROM w/ catching

springy end feel