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EEO Final > 10. Hip > Flashcards

10. Hip Flashcards

1
Q

Hip Self Report Outcome Measures

A

Pain Scales
AIMS
WOMAC
LEAP
LEFS
LEAS
Harris Hip Function Scale
HOOS

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2
Q

Hip Performance Outcome Measures

A

6MWT
DGI
TUG
Timed LE Chair Rise Test
Wall Sit Test
Vertical Jump Test
LE Agility Test
Hop Tests
LQ Y-balance Test

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3
Q

What are the 6 hip ER muscles?

A

Glute Med
Piriformis
Superior Gemelli
Obturator Internus
Inferior Gemelli
Quad Fem

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4
Q

What are 5 functions of Sartorius

A

Hip Flex, Abduct, ER
Knee Flex, IR

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5
Q

Line of gravity is (anterior/posterior) to hip joint

A

Posterior

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6
Q

T/F Line of gravity aligns with the greater trochanter

A

True

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7
Q

Since the LoG falls posterior to the hip joint, there is an _______ moment

A

Extension

counteracted by Iliopsoas and iliofemoral ligament (y-ligament)

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8
Q

what do you see?

A

Lumbar Lordosis
Genu Recurvatum

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9
Q

Anterior Pelvic Tilt: what muscles are too short?

A

Erector Spinae
Iliopsoas

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10
Q

Anterior Pelvic Tilt: what muscles are too long?

A

Glutes
Abdominals

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11
Q

Normal Angle of Inclination @ hip

A

125 degrees

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12
Q

Is Coxa Valga structural or functional?

A

Structural

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13
Q

Do you have a (longer/shorter) limb with coxa valga?

A

longer

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14
Q

Do you have a (more/less) stability with coxa valga?

A

more stability from top to bottom

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15
Q

_______ shearing across femoral neck with Coxa Valga

A

Decreased

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16
Q

Coxa Valga: ______ likelihood of femoral dislocation

A

Increased

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17
Q

Coxa Valga:_______ abductor muscle toruqe

A

Decreased
(decreased moment arm & decreased leverage)

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18
Q

Coxa Valga: _____ likelihood of superior hip OA

A

increased

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19
Q

Coxa Vara leads to (shorter/longer) limb?

A

Shorter

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20
Q

T/F: Coxa vara has worsened congruence between femoral head and acetabulum

A

False

Improved congruence!

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21
Q

T/F: Coxa vara stress fractures along femoral neck.

A

True!

and SCFE happens

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22
Q

Normal Femoral torsion

A

10-20 degrees of anteversion

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23
Q

Another name for Increased femoral torsion

A

Anteversion

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24
Q

Another name for decreased femoral torsion

A

Retroversion

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25
Angle of inclination is measured in _____ plane whereas femoral torsion is measured in _____ plane
Frontal Transverse
26
Excessive femoral **anteversion** leads to
* increased hip IR ROM * decreased hip ER ROM * In-toeing (uncompensated) * Tibial ER (compensated)
27
Femoral **Retroversion** leads to:
* Increased hip ER ROM * decreased hip IR ROM * Out-toeing (uncompensated) * Tibial IR (compensated)
28
normal hip flexion ROM
120 degrees
29
normal hip extension ROM
20 degrees
30
normal hip ABD ROM
45 degrees
31
normal hip ADD ROM
20 degrees
32
normal hip IR ROM
45 degrees
33
normal hip ER ROM
45 degrees
34
normal SLR
70 degrees male 90 degrees female
35
normal hip flexion end feel
soft
36
normal hip ext, ABD, ADD, ER, IR end feel
firm
37
abnormal hip capsular end feel
IR > EXT > ABD Note hip: IR shoulder: ER
38
____ hip flexion needed to rise from seated position
100 degrees
39
_____ hip (3) ROM needed to tie shoes
115 hip flexion 18 abduction 13 ER
40
____ hip (3) ROM needed to sit cross-legged
85 hip flexion 35 Abduction 45 ER
41
what is Lateral Femoral Cutaneous Neuralgia often mis-dx as?
Typical post-surgical pain/paresthesia
42
Iatrogenic LFCN injuries from ?
Anterior Total hip arthroplasties
43
LFCN Tests and Measures
Observation - scar incision Tinel's sign at inguinal ligament Hip extension Purely sensory - sensation testing FABER/FADIR
44
Dermatomes of LFCN
L1, L2, L3
45
Common presentation of Hip Dysplasia
* babies in breech position (butt first) * first born babies * females > male * certain swaddling positions
46
Sx of hip dysplasia
* groin pain * possible limb * feeling "unstable" * possible LLD
47
Harris vs. HOOS population?
Harris: acute HOOS: Athletes
48
Harris vs. HOOS ability/disability?
Harris: ability HOOS: disability
49
Harris vs. HOOS other differences?
Harris: functional, objective measures, AD HOOS: more Qs, QoL, psychological
50
what is "bony overgrowth causing dysfunctional approximation of the femoral neck and acetabulum"
femoral acetabular impingement (FAI)
51
Types of FAI
* CAM Impingement (young athletic males) * Pincer impingement (females) * Mixed (more common
52
FAI leads to
* Labral tears * Osteoarthritis (CAM) * C sign holding anterolateral hip
53
what type of FAI is this?
CAM impingement
54
what type of FAI is this?
Pincer impingement
55
Outcome measures of FAI
HOOS LEFS, LEAP, LEAS 5STS TUG 10 MWT Gait SLS
56
Tests and Measures FAI
PROM end feels
57
Other tests and measures FAI
FADIR FABER Thomas Ober
58
Labral Tear Causes
* Rotational force through planted limb * Repetitive microtrauma from FAI * Repetitive microtrauma from abnormal muscle firing pattern
59
Labral Tear result in
* decreased hip stability * loss of "cushion" from pulvinar * Eventual OA
60
what is "inflammation and/or degeneration of glute med tendon at attachment site"
gluteal tendinopathy
61
gluteal tendinopathy is usually tx with
corticosteroids education plus exercise is better than "wait and see" approach
62
Gluteal tendinopathy outcome measures
SL balance (trendelenburg) SL squat 5STS Squat
63
Hip OA Causes
* coxa valga (acetabulum) * FAI * hip dysplasia * repetitive microtrauma & Wolff's Law * obesity * female * age * macrotrauma forcing joint surface compression
64
hip OA results in
* posture with hip flexion * decreased hip extension during gait * may see compensatory lumbar extension
65
diff Dx for hip OA
Pain in hip with * IR > 15 * pain associated with internal hip * AM stiffness of < 60 min * over 50 years of age NOT * IR < 15 * ESR < 45 mm/hr or hip flexion < 115 if ESR unavailable
66
5 variables for CPR of Hip OA | CPR = clinical prediction rule
1. **Squatting** was an aggravating factor 2. active hip **flexion** caused lateral hip pain 3. **Scour** test with **adduction** caused lateral hip/groin pain 4. active hip **extension** caused pain 5. passive **IR** of <= **25** degrees
67
CPR for Hip OA 3/5 variables = + LHR of 5.2 = ____ % Hip OA probability | LHR = likelihood ratio
68
68
CPR for Hip OA 4/5 variables = + LHR of 24.3 = ____ % Hip OA probability | LHR = likelihood ratio
91
69
Femoral neck fx are common in (3 things)
* >60 years * women * result of osteoporosis
70
is femoral neck fx intra or extracapsular
intracapsular
71
THA precautions: anterior/posterior
Anterior: Ext, Abd, ER Posterior: Flex >90 degrees, Add, IR
72
THA Outcome measures
* Harris or HOOS * LEFS * TUG c AD * 10 MWT * Gait

EEO Final (14 decks)

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