The hip is this type of joint.
Identify the part in green.
Head of the femur.
Posterior
A soccer player complains of sharp pain that starts in their lower back and travels down the back of the thigh. They report tingling and numbness in the same area, especially after long practices. Stretching sometimes provides relief.
What condition is the athlete likely experiencing?
Sciatica
What are the steps of the evaluation process (in order)?
Confirmation and Consent
History
Inspection
Palpation
ROM
Special Test
Name the anatomical point in green.
Acetabelum
What population is most commonly affected by femoral stress fractures?
Runners
A basketball player sustained a direct blow to the side of their hip during a game. They now have significant bruising, swelling, and difficulty walking. They report that even coughing or laughing increases their pain.
What injury is this athlete most likely dealing with?
Hip Pointer
True/False: Resisted ROM can help identify which muscle group is causing pain.
True
True or False: The hip is a very stable joint.
True
Identify the anatomical point in green.
Ilium
A labrum tear typically causes which sensation in the hip?
Locking and Clicking
A middle school boy begins limping without any history of trauma. He doesn’t complain of pain, but his hip movement seems restricted, and he walks with a noticeable shortening of the leg. Upon further examination, groin and knee pain is present.
What hip condition should be considered?
Legg-Calve
A sprinter is unable to fully extend one knee during the 90-90 Straight Leg Raise Test. The knee remains flexed at about 25°. What does this result indicate?
Tight Hamstrings
Primary extensors of the hip
Glutes
Identify the anatomical point in orange/red.
Pubis
A soccer player reports pain after a sudden sprint. You note tenderness near the ischial tuberosity and the athlete describes hearing a “pop.” What injury are you most concerned about?
Avulsion Fracture
A football player complains of lower abdominal pain that radiates into the groin. There was no specific injury event. During history taking, they mention an increase in core workouts. What condition should be suspected?
Ostitis Pubis
An athlete complains of hip tightness. You test active ROM and note difficulty with external rotation. What’s your next logical step?
Assess Passive Range of Motion
What is the function of the bursa?
Reduce friction
Protect Bone
Identify the anatomical point in yellow.
Ischium
During a football game, a player experiences a high-impact tackle while the hip is flexed. Afterward, he is in extreme pain, his leg appears rotated inward and angled across his body, and he cannot move it. A palpable defect is noted, and emergency services are called.
What injury should be suspected based on the mechanism and symptoms?
Hip Dislocation
A 17-year-old high school football player presents to the athletic training room complaining of pain and swelling in his right thigh. He reports that he sustained a hard hit to the thigh during a game two weeks ago but continued to play. Since then, the area has become increasingly tender, and he now notices a firm lump in the muscle. His range of motion is limited, and the pain worsens with activity. Based on the athlete’s history and current symptoms, what condition is he most likely experiencing?
Myositis Ossificans
A basketball player presents with limited hip extension when supine. You perform the Thomas Test. What does a positive test likely indicate?
Tight Adductors and Quads