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Dislocation

test

1 Has there been a fall/RTA/trauma?

no yes 2


diagnosis step

2 Can the patient walk or bear weight without pain

no 3 yes


diagnosis step

3 Is there obvious deformity with the injured leg being shortened?

no yes 4


test

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

noyes Dislocation yes

Fracture

test

1 Has there been a fall/RTA/trauma?

no yes 2


test

2 Can the patient walk or bear weight without pain?

no 3 yes


test

3 Is there obvious deformity with the injured leg being shortened?

no 5 yes


test

5 Is there swelling and/or bruising around the hip and groin and is it painful to touch?

no yes 6


test

6 Is the injured leg externally rotated?

no yes 7


test

7 Is the patient able to lift their injured leg straight off the bed without pain?

nono Fracture yes

Osteoarthritis

test

1 Has there been a fall/RTA/trauma?

no 8 yes


test

8 Is the pain and stiffness worse in the morning and the patient over 50yrs old?

no yes 9


test

9 Do they have reduced passive range in flexion and rotation on the painful hip?

no yes 10


test

10 Is combined hip flexion/ abduction/and external rotation painful, or Is a Thomas test positive?

no yesnoOsteoarthritis

Impingement

test

1 Has there been a fall/RTA/trauma?

no 8 yes


test

8 Is the pain and stiffness worse in the morning and the patient over 50yrs old?

no 11 yes


test

11 Is there groin pain when walking or running?

no yes 12


test

12 Is there weakness or pain on resisted hip flexion or external rotation?

no yes 13


test

13 Is hip flexion/adduction/internal rotation painful when combined?

no yesno Impingement

 

Gluteal tendinopathy/ Trochanteric bursitis

test

1 Has there been a fall/RTA/trauma?

no 8 yes


test

8 Is the pain and stiffness worse in the morning and the patient over 50yrs old?

no 11 yes


test

11 Is there groin pain when walking or running?

no 14 yes


test

14 Is there pain when lying on their painful hip?

no yes 15


test

15 Stand on bad leg for 30 seconds, is this painful?

no yes 16


test

16 Is it painful to palpate locally? Test resisted hip using external rotation

no yesno Tendinopathy/ bursitis

Adductor tendinopathy

test

1 Has there been a fall/RTA/trauma?

no 8 yes


test

8 Is the pain and stiffness worse in the morning and the patient over 50yrs old?

no 11 yes


test

11 Is there groin pain when walking or running?

no yes 14


test

14 Is there pain when lying on their painful hip?

no 17 yes


test

17 Is there pain into the groin with resisted hip adduction and passive hip abduction?

no yesno Adductor tendinopathy