2.5.2. Physical Exam - Hip

Question 1

What method is used to isolate pain in the hip joint

Answer 1

log roll internal rotation

Question 2

possible cause of internal rotation pain for age 0-3 years

Answer 2

septic hip, hip dysplasia, hip fracture

Question 3

possible cause of internal rotation pain for age 4-10

Answer 3

toxic synovitis, legg-calve-perthes, juvenile rheumatoid arthritis

Question 4

possible cause of internal rotation pain for age 11-16 years

Answer 4

slipped capital femoral epiphysis, avascular necrosis, GC arthritis

Question 5

possible cause of internal rotation pain for age 17-39 years

Answer 5

femoral neck stress fracture

Question 6

possible cause of internal rotation pain for age 40-80+

Answer 6

osteoarthritis of hip

Question 7

possible cause of internal rotation for age 60-80+

Answer 7

hip fracture

Question 8

pain from trochanteric bursa region is most likely due to

Answer 8

degenerative process of the gluteal tendons that insert on trochanter

Question 9

source for most lateral hip pain

Answer 9

trochanteric bursa

Question 10

Where is trochanteric bursa located

Answer 10

over greater trochanter of hip

Question 11

On complaint of pain in the trochanteric region, what is done for evaluation

Answer 11

palpate for tenderness

Question 12

Three regions in the vicinity of the hip that may cause pain

Answer 12

1. hip joint
2. trochanteric bursa
3. long “double jeopardy” muscles around the hip

Question 13

Double jeopardy muscles are

Answer 13

long joints that span two joints

Question 14

double jeopardy muscles include

Answer 14

rectus femoris, sartoris, ilotibial band, biceps femoris (long head), semimembranosus semitendinosus, (Ilio) Psoas

Question 15

site or origin and site of insertion for sartorius

Answer 15

origin - anterior superior iliac spine

insertion - pes anserine

Question 16

site of origin and site of insertion for rectus femoris

Answer 16

origin - anterior inferior iliac spine

insertion - tibial tuberosity (via patella)

Question 17

site of origin and site of insertion for biceps femoris (long head)

Answer 17

origin - ischial tuberosity

insertion - fibular head

Question 18

site of origin and site of insertion for semimembranosus semitendinosus

Answer 18

origin - ischial tuberosity

insertion - medical tibial condyle and pes anserine

Question 19

site of origin and insertion of (Ilio) Psoas

Answer 19

origin - thoraco-lumbar vertebrae

insertion - lesser tuberosity of femur

Question 20

Steps of hip inspection while seated or standing still

Answer 20

swelling of soft tissue, ecchymosis, atrophy

Question 21

Steps of hip inspection while walking

Answer 21

observe gait for: limping, inability to walk, shuffling, hip atrophy

Question 22

positive for trendelenberg test is

Answer 22

hip atrophy that results in patient’s raised knee collapsing in towards the standing leg

Question 23

reverse trendelenberg is

Answer 23

hip atrophy that results in knee being pushed out

Question 24

negative for trendelenberg is

Answer 24

pelvis is level and balance maintained

Question 25

hip palpation for supine position is done on

Answer 25

anterior superior iliac spine, anterior inferior iliac spine, pubic ramus

Question 26

hip palpation for lateral position is done on

Answer 26

greater trochanter, iliotibial band

Question 27

hip palpation for prone position is done on

Answer 27

SI joint, ischial tuberosity, pririformis muscle

Question 28

hip range of motion supine is done for the following movments

Answer 28

flexion, internal rotation, external rotation, abduction, adduction

Question 29

hip range of motion prone is done for the following movements

Answer 29

extension

Question 30

hip strength is done for what movements

Answer 30

hip flexor flexioin, hip internal rotation, hip external rotation

Question 31

describe neurovascular portion of hip exam

Answer 31

take femoral pulses

Question 32

name the special tests done for the hip exam

Answer 32

1. FABER

2. FADIR (flexioin, adduction, internal rotation) - tests hip joint proper

Question 33

Leg Calve Perthes

Answer 33

Childhood condition that affects the hip , where the thighbone (femur) and pelvis meet in a ball-and-socket joint

Occurs when blood supply is temporarily interrupted to the ball part (femoral head) of the hip joint. Without sufficient blood flow, the bone begins to die — so it breaks more easily and heals poorly.