Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Caroline > 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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 6 hip ER muscles?

A

Glute Med
Piriformis
Superior Gemelli
Obturator Internus
Inferior Gemelli
Quad Fem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are 5 functions of Sartorius

A

Hip Flex, Abduct, ER
Knee Flex, IR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

A

Posterior

goes through greater troch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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

A

Extension

counteracted by Iliopsoas and iliofemoral ligament (y-ligament)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what do you see?

A

Lumbar Lordosis
Genu Recurvatum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Anterior Pelvic Tilt: what muscles are too short?

A

Erector Spinae
Iliopsoas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Anterior Pelvic Tilt: what muscles are too long?

A

Glutes
Abdominals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

if you have an anterior pelvic tilt UNILATTERALLY, the leg will appear _____

vs if you have a unilateral posterior pelvic tilt it will appear

A

anterior - longer
posterior - shorter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what muscle is weak with a posterior pelvic tilt?

A

hip flexors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Normal Angle of Inclination @ hip

A

125 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Is Coxa Valga structural or functional?

A

Structural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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

A

more stability from top to bottom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

_______ shearing across femoral neck with Coxa Valga

A

Decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Coxa Valga: ______ likelihood of femoral dislocation

A

Increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Coxa Valga:_______ abductor muscle toruqe

A

Decreased
(decreased moment arm & decreased leverage)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Coxa Valga: _____ likelihood of superior hip OA

A

increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Coxa Vara leads to (shorter/longer) limb?

A

Shorter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

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

A

False

Improved congruence!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

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

A

True!

and SCFE happens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Normal Femoral torsion

A

10-20 degrees of anteversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Another name for Increased femoral torsion

A

Anteversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Another name for decreased femoral torsion
Retroversion
26
Angle of inclination is measured in _____ plane whereas femoral torsion is measured in _____ plane
Frontal Transverse
27
Excessive femoral **anteversion** leads to
* increased hip IR ROM * decreased hip ER ROM * In-toeing (uncompensated) * Tibial ER (compensated)
28
Femoral **Retroversion** leads to:
* Increased hip ER ROM * decreased hip IR ROM * Out-toeing (uncompensated) * Tibial IR (compensated)
29
normal hip flexion ROM
120 degrees
30
normal hip extension ROM
20 degrees
31
normal hip ABD ROM
45 degrees
32
normal hip ADD ROM
20 degrees
33
normal hip IR ROM
45 degrees
34
normal hip ER ROM
45 degrees
35
normal SLR
70 degrees male 90 degrees female
36
normal hip flexion end feel
soft
37
normal hip ext, ABD, ADD, ER, IR end feel
firm
38
abnormal hip capsular end feel
IR > EXT > ABD Note hip: IR shoulder: ER
39
____ hip flexion needed to rise from seated position
100 degrees
40
_____ hip (3) ROM needed to tie shoes
115 hip flexion 18 abduction 13 ER
41
____ hip (3) ROM needed to sit cross-legged
85 hip flexion 35 Abduction 45 ER
42
what is Lateral Femoral Cutaneous Neuralgia often mis-dx as?
Typical post-surgical pain/paresthesia
43
Iatrogenic LFCN injuries from ?
Anterior Total hip arthroplasties
44
LFCN Tests and Measures
Observation - scar incision Tinel's sign at inguinal ligament Hip extension Purely sensory - sensation testing FABER/FADIR
45
Dermatomes of LFCN
L1, L2, L3
46
Common presentation of Hip Dysplasia (causes)
* babies in breech position (butt first) * first born babies * females > male * certain swaddling positions
47
Sx of hip dysplasia
* groin pain * possible limb * feeling "unstable" * possible LLD
48
Harris vs. HOOS population?
Harris: acute, post-op, THA HOOS: Athletes
49
Harris vs. HOOS ability/disability?
Harris: ability A for A HOOS: disability
50
Harris vs. HOOS other differences?
Harris: functional, objective measures, AD, requires PT to do ROM! HOOS: more Qs, QoL, psychological
51
what is "bony overgrowth causing dysfunctional approximation of the femoral neck and acetabulum"
femoral acetabular impingement (FAI)
52
Types of FAI
* CAM Impingement (young athletic males) * Pincer impingement (females) * Mixed (more common mixed
53
FAI leads to
* Labral tears * Osteoarthritis (CAM) * C sign holding anterolateral hip
54
what type of FAI is this?
CAM impingement
55
what type of FAI is this?
Pincer impingement
56
Outcome measures of FAI
HOOS LEFS, LEAP, LEAS 5STS TUG 10 MWT Gait SLS
57
Tests and Measures FAI
PROM end feels - hip flexion PROM will feel HARD (bone on bone) when its usually a soft end feel
58
Other tests and measures FAI
FADIR FABER Thomas Ober
59
Labral Tear Causes
* Rotational force through planted limb * Repetitive microtrauma from FAI * Repetitive microtrauma from abnormal muscle firing pattern
60
Labral Tear result in
* decreased hip stability * loss of "cushion" from pulvinar * Eventual OA
61
what is "inflammation and/or degeneration of glute med tendon at attachment site"
gluteal tendinopathy
62
gluteal tendinopathy is usually tx with
corticosteroids education plus exercise is better than "wait and see" approach
63
Gluteal tendinopathy outcome measures
SL balance (trendelenburg) SL squat 5STS Squat
64
which part of the tests and measurements may aggravate symptoms for someone with gluteal tendinopathy? (tendinopathy in general)
arom!
65
what is the umbrella term for gluteal tendinopathy?
greater trochanteric pain syndrome can have other diagnosis like bursitis, which may be a diff dx for gluteal tendinopathy
66
Hip OA Causes
* coxa valga (acetabulum) * FAI * hip dysplasia * repetitive microtrauma & Wolff's Law * obesity * female * age * macrotrauma forcing joint surface compression
67
hip OA results in
* posture with hip flexion * decreased hip extension during gait * may see compensatory lumbar extension
68
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
69
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
70
CPR for Hip OA 3/5 variables = + LHR of 5.2 = ____ % Hip OA probability | LHR = likelihood ratio
68
71
CPR for Hip OA 4/5 variables = + LHR of 24.3 = ____ % Hip OA probability | LHR = likelihood ratio
91
72
Femoral neck fx are common in (3 things)
* >60 years * women * result of osteoporosis
73
is femoral neck fx intra or extracapsular
intracapsular
74
THA precautions: anterior/posterior
Anterior: Ext, Abd, ER Posterior: Flex >90 degrees, Add, IR
75
THA Outcome measures
* Harris or HOOS * LEFS * TUG c AD * 10 MWT * Gait
76
if a pt had a posterior THA, what position might be dangerous for them?
sitting in low chairs (flex past 90)
77
how long do surgical precautions normally last?
6 weeks +
78
if you have a post-op patient, are you clearing the lumbar spine?
no

Caroline (78 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions