Clinical Hip Exam Flashcards

1
Q

what test would aggravate any pathologic condition in the hip?

A

passive hip internal rotation

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2
Q

0-3 years hip pain diagnosis?

A

septic hip, hip dysplasia, hip fracture

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3
Q

4-10 years hip pain diagnosis?

A

toxic synovitis, legg calve perthes, juvenile rheumatoid arthritis

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4
Q

11-16 years hip pain diagnosis?

A

slipped capital femoral epiphysis (SCFE), avascular necrosis, GC arthritis

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5
Q

17-39 years hip pain diagnosis?

A

femoral neck stress fracture

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6
Q

40-80+ years hip pain diagnosis?

A

osteoarthritis of hip

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7
Q

60-80+ years hip pain diagnosis?

A

hip fracture

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8
Q

where is the trocanteric bursa located?

A

over the greater trochanter of the hip

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9
Q

what is the cause of trocanteric pain?

A

a degenerative process of the gluteal tendons that insert on the trochanter (previously thought to be inflammatory bursitis)

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10
Q

the trochantric bursa region is the source of what pain?

A

lateral hip pain

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11
Q

what helps with trochantric bursa region pain?

A

stretching, strengthening, and other simple therapy techniques

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12
Q

how do you determine if the patient has trochanteric pain?

A

press on the trochanteric bursa

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13
Q

if the pain isnt coming from hip joint or bursa, where is it likely from?

A

muscle tendon units around the hip

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14
Q

what kind of muscles are more likely to be injured?

A

muscles that span two joints vs. muscles that span one joint

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15
Q

what is an avulsion?

A

the muscles pull off little pieces of bone from origin insertion points

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16
Q

what population most frequently get avulsions?

A

children

17
Q

where do most hip muscle injuries occur?

A

at the myotendinous junction, within a few cm from the origin/insertion towards the muscle belly

18
Q

origin/insertion of sartorius?

A

ASIS, pes anserine

19
Q

origin/insertion rectus femoris?

A

AIIS, tibial tuberosity (via patella)

20
Q

origin/insertion biceps femoris (long head)?

A

ischial tuberosity, fibular head

short head is not double jeopardy

21
Q

origin/insertion semimembranosus?

A

ischial tuberosity, medial tibial condyle

22
Q

origin/insertion semitendinosus?

A

ischial tuberosity, pes anserine

23
Q

origin/insertion iliopsoas

A

thoraco-lumbar vertebrae, lesser tuberosity of femur

24
Q

what three things are you palpating in the supine position?

A

ASIS, AIIS, pubic ramus

25
Q

what two things are you palpating in the lateral position?

A

greater trochanter, iliotibial band

26
Q

what three things are you palpating in the prone position?

A

sacroiliac joint, ischial tuberosity, piriformis muscle

27
Q

what are the 2 special tests?

A

FABER and FADIR impingement test

28
Q

what is the FABER?

A

flexion, abduction, external rotation

stabilize with hand on hip of outstretched leg - see where pain is located (HIP or SI joint)

29
Q

what is the FADIR impingement test?

A

flexion, adduction, internal rotation

pain indicates probably pathology in hip joint proper