
Diagnostic Accuracy of Patient History in the Diagnosis of Hip-Related Pain: A Systematic Review.
A systematic review looked at the accuracy of a patient history to diagnose hip pain. The researchers looked for a inclusion criteria of:
a. Patients with hip pain
b. Statistical association of a t least 1 patient history item reported
c. Study designs appropriate for diagnostic accuracy
d. Adults aged over 18 years
e. Written in English
f. Used acceptable reference standards for diagnosing hip pathology
Outcomes:
Hip OA- a family history of OA (+) LR of 2.1
History of knee OA (+) LR 2.5-3.8
Self-reported limitation of ROM (+) LR 2.8
Constant LBP or buttock pain (+) LR 6.5
Groin pain on the same side (+) LR 3.6
Screening questionnaire (+) LR 3.8-13.2
Intraarticular hip pathology - crepitus (+) LR 3.5
They concluded that a patient history plays a key role in the DD of hip pain and felt it could be superior to objective tests and measures.
If we look at statistics, generally (+) LR of 5 or greater is needed and this is the gold standard. So the number of their outcomes was less than 5, so we need to keep this in mind.
Aa, W., Bm, N., & M, D. (2021). Diagnostic Accuracy of Patient History in the Diagnosis of Hip Related Pain: A Systematic Review. Archives of Physical Medicine and Rehabilitation, 102(12).
Hip Pain: Causes and Differential Diagnosis is a three-hour seminar that utilizes current evidence-based practice and is a detailed, comprehensive summary of multiple reasons for hip and buttock pain. It looks at hip pain and dysfunction from the anterior, lateral, and posterior aspects. Hip Pain: Causes and Differential Diagnosis incorporates everything from serious pathology and statin muscle involvement to lumbar, Sacro Iliac, and hip pathologies. By applying the current research, this seminar is highly relevant to the diagnosis and treatment of hip dysfunction.
You will learn the information which will assist them in diagnosing a serious pathology that should be referred to a Physician.
Vascular
Visceral
Infection and Malignancy
Spondyloarthropathies
Fractures and Avulsions
Statins SAMS
You will be given the information to enable you to understand the signs and symptoms of posterior pathologies that can affect the hip.
Lumbar Radiculopathy
SI Joint Dysfunction
Thoracolumbar Involvement
Peripheral Entrapment of the Sciatic Nerve
Deep Gluteal Syndrome
Soft Tissue Related Buttock Pain
Hip-Related Posterior Pain
You will learn the multiple causes of anterior hip and thigh pain in your patients.
Osteoarthritis of the Hip
Osteoarthritis of the Knee
Labral Tears
Femoral Acetabular Impingement
Inguinal Ligament Disruption
Inguinal Hernia
Cutaneous Nerve Impingement
You will learn the latest and most current evidence-based practice research on Greater Trochanter Pain Syndrome
Gluteal Tendinopathy
Gluteal Bursitis
Greater Trochanter Pain Syndrome
Assessment, Treatment, and Outcome Measures for GTPS
You will learn the signs and symptoms of hip pain specific to the regions and the suggested assessments and treatment programs that are being used. There are Clinical Prediction Rules that have been developed in the assessment of a number of pathologies that affect the hip, lumbar spine, and SI joint.
My goal for you at the end of this course is to have an improved overall view of a number of significant situations that can affect or refer to the hip.