Hip Pain



Anterior Hip Pain
  • Gait abnormalities
  • Abnormal Positions
  • Popping sounds 
Anatomy


4 muscle group in Hip
  • Adductor - (Medial)
  • Flexors - Anterior
  • Abductor - (Lateral)
  • Extensor and External rotators (Posterior): Quadriceps
4 muscle group in Leg (are located in opposite side to Hip due to rotation during embryonic stage) 
  • Iliopsaos: Help to stand in fully erect position
    • Psoas major: Yoga practioner, only muscle connecting spine to extremities
      • Lumbar spine range of motion should be evaluated
    • Iliacus 
      • Potential site for tissue transfer
    • Psoas minor
      • T12, L1 (may be absent)
  • Adductor 




  

Osteonecrosis of Hip in Cushings disease 
  • Cushingoid features indicate a risk for osteonecrosis because enlargement of fat cells in the face is a marker for enlargement of fat cells in the ends of long bones. Increased adipose volume causes compression of small sinusoidal vessels that leads to interosseous hypertension and impairment of arterial inflow. Use of daily oral prednisone more than 20 mg/d for 4 to 6 weeks is also a risk factor, whereas use of intravenous glucocorticoids may not have the same risk.
  • Ref: MKSAP





Posterior Hip Pain 



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