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. 2014 Nov;9(6):737-55.

Clinical examination and physical assessment of hip joint-related pain in athletes

Michael P Reiman, Kristian Thorborg

Clinical examination and physical assessment of hip joint-related pain in athletes

Michael P Reiman et al. Int J Sports Phys Ther. 2014 Nov.

Abstract

Evidence-based clinical examination and assessment of the athlete with hip joint related pain is complex. It requires a systematic approach to properly differentially diagnose competing potential causes of athletic pain generation. An approach with an initial broad focus (and hence use of highly sensitive tests/measures) that then is followed by utilizing more specific tests/measures to pare down this imprecise differential diagnosis list is suggested. Physical assessment measures are then suggested to discern impairments, activity and participation restrictions for athletes with hip-join related pain, hence guiding the proper treatment approach.

Level of evidence: 5.

Keywords: Athlete; diagnostic accuracy; examination; hip joint.

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Figures

Figure 1.
Figure 1.
Examination Sequence (Funnel Approach) for Hip‐Joint Related Examination with Progression to Determination of Treatment Approach
Figure 2.
Figure 2.
ICF model of disability. Adapted from WHO, 2002.12
Figure 3.
Figure 3.
Algorithm for Hip Pathology Screening in the Athletic Hip. SN=sensitivity, ‐LR=negative likelihood ratio, FADDIR=flexion‐adduction‐internal rotation test
Figure 4.
Figure 4.
Dunn lateral radiograph demonstrating α angle.
Figure 5.
Figure 5.
Crossover sign
Figure 6.
Figure 6.
Anteroposterior pelvic radiograph demonstrating coxa profunda.
See this image and copyright information in PMC

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