5 - Hip Flashcards
Indications hip traction is needed?
- Loss of motion with Hibb’s or Patrick’s Fabere or hip telescoping.
- Pain
- Osteoarthritis
- Dull ache to sharp pain at hip
What positives are we looking for in part 1 of Patrick’s FABERE?
- acetabular hip pain,
- motion or lack of motion
What is part 3 of Patrick’s?
-stabilize opposite pelvis, press down on the femur
Positive for Patrick’s?…What does it Indicate?
-pain in the hip indicating hip joint pathology
What is the most common hip joint pathology in the elderly?
-DJD causing arthritic pain
What are the 2 most common hip joint pathologies in the very young?
- Legg-Calve-Perthes,
- Slipped Femoral Capital Epiphysis. (SFCE)
What is the most common cause of hip pain?…..-
Subluxation
What is the positive for Hibb’s?…..
-pain upon internal rotation
What does Hibb’s Test positive indicate?
-indicating hip joint pathology
Indication of Trendelenberg?
-Deterioration/weakness of the pelvic stabilizer muscles (extensors & or abductors)
Positive for Trendelenberg’s?
-Weakness occurs on the standing leg side,(gluteus medius) while the raised leg side drops forward & down.
Positive Thomas test
test most commonly involves contracture of which hip flexor
-the iliopsoas muscle
What is most important about setting your contact for hip traction?
How to carefully keep your forearm away from the patient’s privates or pubis during hip traction?
-Explain what you’re doing!..Pt. is supine. Dr. stands inferior & reaches across table to position his forearm/wrist under ischeal tube on opposite side at an I-S oblique angle,
What do you do after setting your wrist for hip traction?
-Bring the foot & leg down until the thigh is tight against your forearm
