Hip Part 2

Question 1

Athletic pubalgia (sports hernia) hallmark?

Answer 1

Insidious groin pain, worse with cutting/kicking, TTP pubic tubercle, pain with resisted sit-up or adduction. [Groin]

Question 2

Osteitis pubis hallmark imaging finding?

Answer 2

Symphyseal irregularity, sclerosis, widening on X-ray; bone scan ↑ uptake. [Groin]

Question 3

Common associated injury with athletic pubalgia?

Answer 3

Adductor longus strain. [Groin]

Question 4

Greater trochanteric pain syndrome (GTPS) key causes?

Answer 4

Gluteus medius/minimus tendinopathy, trochanteric bursitis, ITB friction. [GTPS]

Question 5

Classic GTPS symptoms?

Answer 5

Lateral hip pain, worse lying on side, pain with resisted hip abduction. [GTPS]

Question 6

Most common site of hamstring strain?

Answer 6

Myotendinous junction of biceps femoris. [Hamstring]

Question 7

Mechanism of acute hamstring strain?

Answer 7

Eccentric contraction during terminal swing (sprinting). [Hamstring]

Question 8

High-risk hamstring avulsion site?

Answer 8

Ischial tuberosity apophysis (adolescents). [Hamstring]

Question 9

Chronic proximal hamstring tendinopathy hallmark?

Answer 9

Deep buttock pain with sitting, pain with resisted knee flexion at 90°. [Hamstring]

Question 10

Most common quadriceps strain site?

Answer 10

Rectus femoris. [Quad]

Question 11

Quadriceps contusion complication?

Answer 11

Myositis ossificans (heterotopic ossification). [Quad]

Question 12

Risk factors for myositis ossificans?

Answer 12

Early aggressive massage/stretching, repeated trauma. [Quad]

Question 13

Quadriceps tendon rupture risk factors?

Answer 13

Age >40, chronic tendinopathy, steroid/fluoroquinolone use, systemic disease. [Quad]

Question 14

Most common site of avulsion fracture in adolescent pelvis?

Answer 14

ASIS (sartorius) and AIIS (rectus femoris). [Peds]

Question 15

Other common pelvic apophyseal avulsion sites?

Answer 15

Ischial tuberosity (hamstring), iliac crest, pubic symphysis. [Peds]

Question 16

Slipped capital femoral epiphysis vs apophyseal avulsion—key difference?

Answer 16

SCFE = femoral head slip; apophyseal = tendon avulses ossification center. [Peds]

Question 17

Iliopsoas bursitis hallmark?

Answer 17

Anterior hip/groin pain, snapping with hip flexion/extension, pain with resisted hip flexion. [Bursa]

Question 18

Trochanteric bursitis exam finding?

Answer 18

Point tenderness over greater trochanter. [Bursa]

Question 19

Snapping hip internal vs external causes?

Answer 19

Internal: iliopsoas tendon; External: ITB over greater trochanter. [Misc]