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