Femoral Anterior Glide Syndrome and Femoral Anterior Glide with Medial Rotation Syndrome
Your hip pain is located in the front of your hip or in the groin and is associated with excessive anterior glide of the femoral head (ball) in the acetabulum (socket) during flexion activities, usually with an increase in medial rotation of the femur. These symptoms are usually most evident during sitting or deep squatting (hip flexion).
This is a common problem for people who participate in activities that encourage excessive hip extension like running dancing or stand with their hips in hyperextension.
- posterior tilt
- hip extension
- knee hyper extension
- decreased gluteal definition
Supine Hip and Knee Flexion:
- active: pain after 90 deg flexion
- passive: posteroinferior glide decreases is stiff, but decreases pain and improves ROM
Supine Straight Leg Raise: Active: deviation of PICR; posteroinferior glide stiff, but decreases pain and improves ROM
Prone Hip and Knee Extension: anterior displacement of the greater trochanter with late glute max engagement (second 1/2 of motion)
Quadruped: pelvis on involved side is higher, affected hip does not flex as easily with early posterior pelvic tilt during rocking
MMT: weak iliopsoas and glute max
Muscle Length: iliopsoas long, short hamstring, short TFL – ITB
Gait: knee hyperextended
Sitting: legs crossed
Supine: active (vs. passive) straight leg raise test
Prone: active (vs. passive) prone leg lift test
Supine: active (vs. passive) ‘figure 4’ turnout test (Bent Knee Fall Out)
- Improve active posterior glide of the femoral head.
- Improve muscle balance between the gluteus maximus and the hamstrings during hip extension.
- Improve muscle balance between the iliopsoas and the tensor fascia lata.
- Improve muscle balance between the posterior gluteus medius and the tensor fascia lata.