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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?

 

yes, next


 
Is the patient able to move their injured leg in any direction without pain?

no

 

  yes Dislocation

 


Fracture

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

 

  yes Fracture

 


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?

 

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

  yesOsteoarthritis

 


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?

 

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

  yesImpingement

 


 

Gluteal tendinopathy/ Trochanteric 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?

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

  yesTendinopathy/ bursitis

 


Adductor tendinopathy

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

  yesAdductor tendinopathy