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OPP 3-2 > 6- Hip and Leg (Sprague) > Flashcards

6- Hip and Leg (Sprague) Flashcards

1
Q

The hip complex comprises all of the following, except:

a) pelvic girdle
b) coxafemoral joint
c) femur
d) femoraltabular joint

A

d) femoraltabular joint [ i made this up]

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2
Q

How is the hip different than the shoulder?

A

Function! The hip is more for stability; Shoulder = mobility

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3
Q

If the collodiaphysial angle is < 120 degrees, what is it called?

a) coxa vera
b) coxa valga

A

a) coxa vera!!

coxa valga = > 135 degrees

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4
Q

Coxa vara or coxa valga?: causes potential shearing damage to the epiphyseal plate at the femoral head

A

Coxa vara

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5
Q

Coxa vara or coxa valga?: causes altered muscle actiity and intraarticular forces in CFJ with possible cartialge damage

A

Coxa valga

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6
Q

Increased in angle of collodiaphysial angle is called?

a) anteversion
b) retroversion
c) anteroversion
d) diversion

A

a) anteversion

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7
Q

Bias of the total rotational ROM toward external rotation is called?

a) anteversion
b) retroversion
c) anteroversion
d) diversion

A

b) retroversion

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8
Q

Bias of the total rotational ROM toward INTERNAL rotation is called?

a) anteversion
b) retroversion
c) anteroversion
d) diversion

A

a) anteversion

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9
Q

What do you measure to find the relationship between the femoral head and the acetabulum?

A

Center edge angle

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10
Q

If the Center edge angle is 18 degrees, what would you call it?

a) Normal
b) abnormal
c) hip dysplasia

A

c) hip dysplasia (<20)

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11
Q

True or false: The joint capsule in the acetabulum is Mobility AND stability.

A

TRUE! Mostly provides mobility (ROM) while providing SOME stability

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12
Q

What ligament resists a detraction force in the femoral head?

a) iliofemoral ligament
b) ischiofemoral ligament
c) teres ligament
d) pubofemoral ligament

A

c) teres ligament

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13
Q

What ligament is also known as the “Y ligament” near the femoral head?

a) teres ligament
b) iliofemoral ligament
c) ischiofemoral ligament
d) pubofemoral ligament

A

b) iliofemoral ligament

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14
Q

A patient comes into your office complainig of low back pain, ROM limitation into hip exension of the right leg, and iliosacral dysfunction on examination. Oh gosh. What do you think is the problem?

a) sartorious
b) rectus femoris
c) iliopsoas
d) rectus intermedius

A

c) iliopsoas

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15
Q

A patient comes into your office complainig of low back pain, ROM limitation into hip exension of the right leg, and iliosacral dysfunction on examination. You determine it is a problem of the iliopsoas dysfunction. What test would you use to test your theory?

a) Phalen’s test
b) Thomas Test
c) Rotary Test
d) Fabere’s test

A

b) Thomas Test

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16
Q

A patient come in complaining of weakness of quadricep muscles. Notable on history was a non-contact ACL tear when he was 42. What muscles do you think are involved?

a) gluteal medius
b) gluteus minimus
c) gluteus maximus
d) a and b only

A

d) a and b only

17
Q

My knees are a knocking.. What problems am I more likely to have?

a) nothing
b) gluteal tendon rupture
c) non-contact ACL rupture
d) contact ACL rupture

A

c) non-contact ACL rupture

18
Q

During the Trendelenberg test, If a patient raised his right foot and you notice a drop on the right hip, what could be the cause of this?

A

weakness of his left gluteus medius and gluteus minimus

19
Q

A patient comes into your office complaining of buttock pain when sitting. Though if it is better when they are sitting on a softer surface. The symptomx are provoked with passive abduction and IR of the hip in

A

d) piriformis syndrome

20
Q

A 18 yo track athlete/hurdler m complains of pain around the ischeal tuberosity and pain with sitting. When you try to raise his straight leg, and dorsiflex the leg, he screams out in pain. Oh dear. What could be the problem?

a) hamstring syndrome
b) gluteal maximus weakness
c) gluteal medius weakness
d) piriformis syndrome

A

a) hamstring syndrome

21
Q

Why are young athletes in track often see an avulsion hamstring injury?

A

because their ischial apophyses is not completely fused until late teens/early 20s

22
Q

Which of the following does not work to screen and rule out lumbar spine/SI

a) buttock pain with trunk AROM
b) Straight leg raise test on the side of the symptoms
c) Straight leg raise test on the opposite side of symptoms (XSR).
d) Fabere’s test
e) none of the above

A

e) none of the above

23
Q

What does FABERE’s test stand for?

A 
F = Flexion
AB = ABduction
ER = External Rotation
E = Extension
24
Q

A 38 yo f comes in complaining of pain while stair climbing at the gym and being unable to lay on the side of the pain (left side). Suspicious! You place her hip in full passive flexion, adduction, and internally and externally rotate her hip and she screams the entire time. What is the diagnosis?

a) trochananteric bursitis
b) pelvic floor muscle weakness
c) osteitis pubis
d) hernia
e) pubic symphysis infection

A

a) trochananteric bursitis

25
Q

A 22 yo f soccer player presents with fever, groin pain, pain with hip motion, and antalgic gait. What could be the problem?

a) trochananteric bursitis
b) pelvic floor muscle weakness
c) osteitis pubis
d) hernia
e) pubic symphysis infection/osteomyelitis

A

e) pubic symphysis infection

26
Q

A 48 yo m complains of groin pain/inguinal pain with coughing, sneezing, and while on the toilet. When he tries to do a sit-up it’s painful. What do you think the problem and how would you diagnose it?

a) trochananteric bursitis / Ultrasound
b) pelvic floor muscle weakness / MRI
c) osteitis pubis / MRI
d) hernia / Ultrasound

A

d) hernia / Ultrasound

27
Q

In a femoral acetabular impingement, if the neck of the femur is less defined due to an overgrowth on the neck, what type of FAI is it?

a) Cam-type
b) Pincer-Type

A

a) Cam-type

28
Q

In a femoral acetabular impingement, if the femoral head is sitting too deep in the acetabulum, what type of FAI is it?

a) Cam-type
b) Pincer-Type

A

b) Pincer-Type

29
Q

[TQ] A 18 yo runner complains of a constant dull ache with intermittent sharp pain associated with movement. There is a clicking or a locking/catching feeling in the anterior hip and groin pain. On PE, he has a positive FABER’s test. what is the best choice for imaging?

a) MRI
b) CT
c) MRI arthrogram (MRA)
d) Bone Scan

A

c) MRI arthrogram (MRA)

30
Q

A 5 yo patient complains of anterior hip, thigh pain with movement. You notice that when testing for the Drehmann sign, that his hip will go into external rotation with flexion. What is the potential diagnosis?

a) Labral tear
b) Avascuar necrosis
c) Legg-Calve Perthes Disease
d) Osteoarthritis

A

c) Legg-Calve Perthes Disease

Seen in 3-10 yo

OPP 3-2 (8 decks)

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