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EEO FINAL > 10: HIP > Flashcards

10: HIP Flashcards

1
Q

Self report outcome measures for hip

A

pain scales
AIMS
WOMAC
LEAP
LEFS
LEAS
Harris Hip
HOOS

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2
Q

Hip performance tests

A

6MWT
DGI
TUG
Timed LE chair rise test
Wall sit test
vertical jump test
LE agility tests
hop tests
YBT

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3
Q

What attaches to ASIS?

A

TFL, sartorius

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4
Q

What attaches to AIIS?

A

rectus femoris (hip flexion and knee extension!)

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5
Q

What attaches to lesser trochanter?

A

iliopsoas

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6
Q

Which muscles attach to greater trochanter?

A

Glute med/min, all your external/abductors (pirformis, gamelli, quad fem, obturators.)

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7
Q

Sartorius does what motions?

A

hip flexion
hip abduction
hip external rotation
knee flexion
knee medial rotation
L2,L3 FEMORAL NERVE

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8
Q

which line of gravity is the only one posterior to the joint?

A

hip! aligned with greater trochanter.

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9
Q

hip extension moment is counteracted by

A

Y ligament, iliopsoas

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10
Q

with lordosis, what is tight and what is weak? (lower cross)

A

tight erectors, tight psoas
weak abs, weak glutes/hams

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11
Q

Lordosis and kyphosis/lordosis has a ___pelvic tilt

A

anterior pelvic tilt

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12
Q

swayback has a ____pelvic tilt

A

posterior pelvic tilt, anterior displacement

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13
Q
A
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14
Q

which biomechanical features should you assess with pelvis?

A

tilt: anterior/posterior
angle of inclination: coxa valga/vara
femoral torsion: anteversion/retroversion

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14
Q

If anterior pelvic tilt is unilateral, what would you suspect?

A

LLD

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15
Q

what is tight/weak in posterior pelvic tilt?

A

weak abs/glutes that are tight

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15
Q

what is the normal angle of inclination for hip?

A

$125
valga is greater, vara is less

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16
Q

coxa valga leads to what?

A

longer limb with more stability top to bottom
decreased shear across femoral neck, more shear on HIP
decreased abductor muscle torque
increased likelihood of superior hip OA
increased likelihood of femoral dislocation

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17
Q

coxa vara leads to

A

shorter limb
more congruence btwn femoral head and acetabulum
stress fx femoral neck
SCFE

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18
Q

normal measurement of femoral torsion

A

transverse plane: 10-20 degrees of anteversion

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19
Q

men have higher or lower femoral anteversion?

A

lower: retroversion (less than 10)
*women have more (greater than 20)

20
Q

excessive femoral anteversion leads to

A

increased hip IR (less ER) ROM
in-toe (uncompensated)
tibial external rotation if compensated

21
Q

W sitting may be associated with

A

femoral anteversion, pidgeon toe or internal foot rotation
lots of hip IR

22
Q

femoral retroversion leads to

A

more hip ER, less IR
out toe if uncompensated
tibial INTERNAL rotation if compensated

23
Q

what is tight with excessive hip ER?

A

ABDUCTORS
external rotators
sartorius

24
Q

capsular abnormal end feels for hip

A

IR, then extension, then abduction

25
Q

hip flexion needed to rise from chair

A

100 degrees

26
Q

ROM needed to tie shoes

A

hip flexion 115
abduction: 18
ER: 13

27
Q

hip ROM needed to sit cross legged

A

85 hip flexion
35 hip abduction
45 ER

28
Q

lateral femoral cutaneous neuralgia is due to

A

lateral femoral cutaneous nerve (L2,3) injuries from anterior THA
73-81% incidence
misdiagnosed as normal post surgery pain/paresthesia

29
Q

What should you measure with LFCN?

A

observe scar incision
tinel’s sign at inguinal ligament
hip extension
sensation testing!
FABER/FADIR

30
Q

What is hip dysplasia?

A

due to shallow acetabulum (does not fully cover femoral head)
common: babies in breech, first borns, more females than males, swaddling

31
Q

symptoms of hip dysplasia

A

groin pain
limp?
feels unstable
maybe LLD

32
Q

femoral acetabular impingement (FAI) is due to

A

bony overgrowth (CAM, PINCER, mixed) causing problems with femoral neck/acetabulum

33
Q

femoral acetabular impingement leads to

A

labral tears
OA (cam)
C sign, holding anterolateral hip with hand

34
Q

CAM impingement is associated with what population?

A

young athletic males (femoral head/neck bony overgrowth)

35
Q

PINCER impingement is associated with who?

A

females (more bone at acetabulum)
pincer =pelvis

36
Q

Labral Tears are due to

A

rotational force through standing limb
microtrauma from FAI or from abnormal muscles

37
Q

labral tears result in

A

decreased hip stability
loss of cushion from pulvinar
eventual OA

38
Q

Gluteal tendinopathy is

A

inflammation/degeneration of glute med tendon
TTP
involves LE biomechanical factors
usually treated with steroids and needs education+exercise

39
Q

Greater Trochanter Pain Syndrome is due to what?

A

*inflamed trochanteric bursa
AKA HIP BURSITIS

40
Q

Hip OA is due to what

A

coxa valga (rubs on superior acetabulum causing FAI)
hip dysplasia
repetitive microtraumas and wolff’s law
risks: obesity, female, age
macrotrauma from joint compression

41
Q

hip OA leads to

A

posture with hip flexion
decreased hip extension in gait
compensatory lumbar extension

42
Q

what is the differential diagnosis for determining hip OA with 90% accuracy?

A
  1. internal hip rotation more than 15
  2. pain with internal hip
  3. morning stiffness less than 60 minutes
  4. over 50 years old
43
Q

5 variables for CPR of hip OA (unilateral hip pain)

A
  1. squatting hurts
  2. active hip flexion=lateral hip pain
  3. scour in adduction=lateral hip or groin pain
  4. active hip extension=pain
  5. passive IR 25 degrees or less
44
Q

what is the most important thing for determining hip OA from the eval?

A

SUBJECTIVE HISTORY (anterior thigh/groin pain, constant lower back/butt pain)

better than trendelenburg, resisted hip abduction, and FABERs

45
Q

CPG recommended which balance tests for hip OA?

A

BERG
4 SST
timed single leg stance

46
Q

CPG recommends testing what motions and what implication tests?

A

FABER
PROM/MMT: IR, ER, flexion, ext, abduction, adduction

47
Q

femoral neck fx are due to what?

A

*older women (60+ years)
high impact injury for young person
INTRACAPSULAR

48
Q

what position will the leg be in after femoral neck fx? what is the blood supply?

A

probably internally rotated
blood supply: lateral circumflex branch of deep femoral artery

49
Q
A

EEO FINAL (6 decks)

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