Hip Pain
Name the expected condition given the following:
73-year-old female with anterior groin pain // increased with internal rotation and flexion of the hip - both are passively blocked with a firm end feel
Osteoarthritic hip
Name the expected condition given the following:
Anterior distal knee pain with visible deformity in a 13-year-old boy who plays both basketball and rugby during the winter
Osgood Schlatters Disease
The observation we make with contralateral hip drop during gait
Trendelenburg sign
The structure used to reduce and prevent posterior translation of the tibia with the femur
PCL
The muscle responsible for hip flexion, adduction and external rotation (hint - in stance unilateral contraction will cause lumbar flexion)
Psoas Major
What would your likely diagnosis be for the following presentation:
54-year-old male with lateral right hip pain following excessive use of stairs or increased time walking?
Glute tendinopathy and/or bursitis
What special test does the following aim to outline an issue with:
Pain isolated directly behind the kneecap with pain increasing through loaded flexion as well as placing pressure over the kneecap whilst activating quads
Hoffa's Fat Pad irritation
At what degree of hip flexion do you (anatomically) expect hip external rotation to be controlled through glute MAX.?
A: 50+ degrees
Initial 0-20 degrees = Glute med.
20-50 degrees = Combination of glute med and max
50+ = glute max as primary external rotator
Insufficient deep articular surface, inadequate VMO, and increased Q-Angle are all examples of risk factors for what condition?
Patellofemoral instability / Patella Dislocations
Which nerve root primarily controls the following myotome group: glute med., TFL and tib. anterior
L4
Given the following - what do you think a potential diagnosis could be:
Young and athletic female with an acute onset injury - pain through both active and passive ROM testing + positive FABER & FADIR testing
Potential labral tear (less likely differential = femoroacetabular impingement and would likely need a PMHx of SCFE)
In runners with iliotibial band syndrome, which specific biomechanical dysfunction at the hip is most likely to increase friction and lead to lateral knee pain during repetitive running?
Hip adduction and excessive internal rotation, which increases tension on the iliotibial band and causes friction over the lateral femoral epicondyle.
According to Boren et al. which of the following exercises elicit the Maximum Isometric Voluntary Contraction on EMG reading for Glute Med.?
A: Single Leg Squat
B: Side-lying Hip Abduction
C: Side-plank
D: Lateral step-up
C: Side plank
Which muscle group is responsible for counteracting varus forces at the knee during activities such as running or cutting?
Bonus point (100): which muscle specifically from this group is the most impactful?
Quadriceps
BP: VM/VMO
Which objective measure would cause gluteus maximus and hamstrings to work harder to stabilize the pelvis and control knee motion during squatting or lunging?
Hip flexor length (shortening): this can lead to increased anterior pelvic tilt and excessive forward knee displacement