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HIP Diagnosis (Information we would need from the patient: Demographics,…

- - - - Mechanism of Injury
        
        Falls
        
        locking, clicking, catching sensation; deep, sharp pain in groin/hip; stiffness or limited ROM
        
        Labral Injury
        
        Hip Scour Test
    - - Pain in ant. hip/groin or at hip/trochanter region
        
        Femoroacetabular Impingement
        
        FADIR Test. Hip Scour Test
      - Repetitive Mvmts
        
        Localized pain. Pain with resisted movement and at rest. Pain with passive stretching of muscle. Possible thickening, tenderness or knotting from palpation of muscle belly.
        
        Muscle strains
        
        Hamstring(posterior hip/leg
        
        90-90 SLR
        
        Adductor (groin)
        
        Quads (anterior hip and knee)
        
        Thomas Test, Ely Test
  - - - Idiopathic and due to aging (decreased mobility and lubrication of joints)
        
        Primary OA
      - Deep pain in posterior hip. Numbness and tingling down the leg. Painful resisted ext. rotation and passive int.rotation. Pain with walking.
        
        Piriformis Syndrome
        
        Pirifomoris test
      - Followed by previous damage or disease that leads to mechanical disorders. Congential malformations and avascular necrosis may be present
        
        Secondary OA
    - - Pain with climbing stairs. Symptoms of deep, aching, sometimes burning, and increases with compressing bursa
        
        Trochanteric bursitis
        
        Ober's Test
      - Pain with resisted hip flex, full passive hip ext, tenderness w/ palpation in inguinal area
        
        Iliopectineal bursitis
      - Pain with sitting, walking, climbing stairs. Tenderness over ischial tuberosity
        
        Ischiogluteal bursitis
      - Pain in hip and groin. MOI is twisting motion during weight bearing. Weak lateral hip rotators and tight hip flexors. Capsular pattern of restricted movement.
        
        Capsular Sprain
      - Pain in groin that inc. with activity and dec. with rest. Failure to reach end ROM. First noticed after exertion.
        
        Capsular Tightness