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| Has there been a fall/ RTA/ trauma? | |
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yes, next |
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| Can the patient walk or bear weight without pain? | |
no, next |
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| Is there obvious deformity with the injured leg being shortened? | |
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yes, next |
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| Is the patient able to move their injured leg in any direction without pain? | |
no |
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 Dislocation
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| Has there been a fall/ RTA/ trauma? | |
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yes, next |
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| Can the patient walk or bear weight without pain? | |
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no, next |
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| Is there obvious deformity with the injured leg being shortened? | |
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no, next |
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| Is there swelling and/or bruising around the hip and groin and is it painful to touch? | |
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yes, next |
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| Is the injured leg externally rotated? | |
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yes, next |
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| Is the patient able to lift their injured leg straight off the bed without pain? | |
no |
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| Fracture
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| Has there been a fall/ RTA/ trauma? | |
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no, next |
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| Is the pain and stiffness worse in the morning and the patient over 50yrs old? | |
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yes, next |
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| Do they have reduced passive range in flexion and rotation on the painful hip? | |
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yes, next |
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| Is combined hip flexion/ abduction/and external rotation painful, or is a Thomas test positive? | |
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yes |
| Osteoarthritis
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| Has there been a fall/ RTA/ trauma? | |
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no, next |
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| Is the pain and stiffness worse in the morning and the patient over 50yrs old? | |
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no, next |
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| Is there groin pain when walking or running? | |
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yes, next |
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| Is there weakness or pain on resisted hip flexion or external rotation? | |
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yes, next |
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| Is hip flexion/adduction/internal rotation painful when combined? | |
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yes |
| Impingement
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| Has there been a fall/ RTA/ trauma? | |
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no, next |
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| Is the pain and stiffness worse in the morning and the patient over 50yrs old? | |
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no, next |
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| Is there groin pain when walking or running? | |
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no, next |
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| Is there pain when lying on their painful hip? | |
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yes, next |
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| Stand on bad leg for 30 seconds, is this painful? | |
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yes, next |
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| Is it painful to palpate locally? Test resisted hip using external rotation | |
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yes |
| Tendinopathy/ bursitis
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| Has there been a fall/ RTA/ trauma? | |
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no, next |
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| Is the pain and stiffness worse in the morning and the patient over 50yrs old? | |
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no, next |
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| Is there groin pain when walking or running? | |
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yes, next |
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| Is there pain when lying on their painful hip? | |
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no, next |
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| Is there pain into the groin with resisted hip adduction and passive hip abduction? | |
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yes |
| Adductor tendinopathy
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