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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
Q

Angle of inclination is measured in _____ plane whereas femoral torsion is measured in _____ plane

A

Frontal

Transverse

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26
Q

Excessive femoral anteversion leads to

A
  • increased hip IR ROM
  • decreased hip ER ROM
  • In-toeing (uncompensated)
  • Tibial ER (compensated)
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27
Q

Femoral Retroversion leads to:

A
  • Increased hip ER ROM
  • decreased hip IR ROM
  • Out-toeing (uncompensated)
  • Tibial IR (compensated)
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28
Q

normal hip flexion ROM

A

120 degrees

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29
Q

normal hip extension ROM

A

20 degrees

30
Q

normal hip ABD ROM

A

45 degrees

31
Q

normal hip ADD ROM

A

20 degrees

32
Q

normal hip IR ROM

A

45 degrees

33
Q

normal hip ER ROM

A

45 degrees

34
Q

normal SLR

A

70 degrees male
90 degrees female

35
Q

normal hip flexion end feel

A

soft

36
Q

normal hip ext, ABD, ADD, ER, IR end feel

A

firm

37
Q

abnormal hip capsular end feel

A

IR > EXT > ABD

Note
hip: IR
shoulder: ER

38
Q

____ hip flexion needed to rise from seated position

A

100 degrees

39
Q

_____ hip (3) ROM needed to tie shoes

A

115 hip flexion
18 abduction
13 ER

40
Q

____ hip (3) ROM needed to sit cross-legged

A

85 hip flexion
35 Abduction
45 ER

41
Q

what is Lateral Femoral Cutaneous Neuralgia often mis-dx as?

A

Typical post-surgical pain/paresthesia

42
Q

Iatrogenic LFCN injuries from ?

A

Anterior Total hip arthroplasties

43
Q

LFCN Tests and Measures

A

Observation - scar incision
Tinel’s sign at inguinal ligament
Hip extension
Purely sensory - sensation testing
FABER/FADIR

44
Q

Dermatomes of LFCN

A

L1, L2, L3

45
Q

Common presentation of Hip Dysplasia

A
  • babies in breech position (butt first)
  • first born babies
  • females > male
  • certain swaddling positions
46
Q

Sx of hip dysplasia

A
  • groin pain
  • possible limb
  • feeling “unstable”
  • possible LLD
47
Q

Harris vs. HOOS population?

A

Harris: acute
HOOS: Athletes

48
Q

Harris vs. HOOS ability/disability?

A

Harris: ability
HOOS: disability

49
Q

Harris vs. HOOS other differences?

A

Harris: functional, objective measures, AD
HOOS: more Qs, QoL, psychological

50
Q

what is “bony overgrowth causing dysfunctional approximation of the femoral neck and acetabulum”

A

femoral acetabular impingement (FAI)

51
Q

Types of FAI

A
  • CAM Impingement (young athletic males)
  • Pincer impingement (females)
  • Mixed (more common
52
Q

FAI leads to

A
  • Labral tears
  • Osteoarthritis (CAM)
  • C sign holding anterolateral hip
53
Q

what type of FAI is this?

A

CAM impingement

54
Q

what type of FAI is this?

A

Pincer impingement

55
Q

Outcome measures of FAI

A

HOOS
LEFS, LEAP, LEAS
5STS
TUG
10 MWT
Gait
SLS

56
Q

Tests and Measures FAI

A

PROM end feels

57
Q

Other tests and measures FAI

A

FADIR
FABER
Thomas
Ober

58
Q

Labral Tear Causes

A
  • Rotational force through planted limb
  • Repetitive microtrauma from FAI
  • Repetitive microtrauma from abnormal muscle firing pattern
59
Q

Labral Tear result in

A
  • decreased hip stability
  • loss of “cushion” from pulvinar
  • Eventual OA
60
Q

what is “inflammation and/or degeneration of glute med tendon at attachment site”

A

gluteal tendinopathy

61
Q

gluteal tendinopathy is usually tx with

A

corticosteroids

education plus exercise is better than “wait and see” approach

62
Q

Gluteal tendinopathy outcome measures

A

SL balance (trendelenburg)
SL squat
5STS
Squat

63
Q

Hip OA Causes

A
  • coxa valga (acetabulum)
  • FAI
  • hip dysplasia
  • repetitive microtrauma & Wolff’s Law
  • obesity
  • female
  • age
  • macrotrauma forcing joint surface compression
64
Q

hip OA results in

A
  • posture with hip flexion
  • decreased hip extension during gait
  • may see compensatory lumbar extension
65
Q

diff Dx for hip OA

A

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
Q

5 variables for CPR of Hip OA

CPR = clinical prediction rule

A
  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
Q

CPR for Hip OA
3/5 variables = + LHR of 5.2 = ____ % Hip OA probability

LHR = likelihood ratio

A

68

68
Q

CPR for Hip OA
4/5 variables = + LHR of 24.3 = ____ % Hip OA probability

LHR = likelihood ratio

A

91

69
Q

Femoral neck fx are common in (3 things)

A
  • > 60 years
  • women
  • result of osteoporosis
70
Q

is femoral neck fx intra or extracapsular

A

intracapsular

71
Q

THA precautions: anterior/posterior

A

Anterior: Ext, Abd, ER
Posterior: Flex >90 degrees, Add, IR

72
Q

THA Outcome measures

A
  • Harris or HOOS
  • LEFS
  • TUG c AD
  • 10 MWT
  • Gait

EEO Final (14 decks)

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