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Physical Exam Course > Hip > Flashcards

Hip Flashcards

1
Q

Special Tests: Hip flexion contracture

A

Thomas test

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2
Q

Special Tests: Glute Medius Weakness

A

Trendelenburg sign

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3
Q

Special Tests: Femoroacetabular impingement

A

FADER

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4
Q

Special Tests: Labral Lesion

A

Fitzgerald Test

  • Anterior: Flex + ABduct + EROT → Extend + ADduct + IROT
  • Posterior: Flex + ADduct + IROT → Extend + ABduct + EROT

Scour test

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5
Q

Special Tests: Osteitis pubis

A

Hop test

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6
Q

Special Tests: Stress fracture

A
  • Fulcrum Test: Pt seated → Place hand under thigh → Downward force on knee w/ other hand
  • Patellar Pubic Percussion: Stethoscope over pubis → Tap each patella
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7
Q

Referred pain to hip

A
  • Low back
  • Knee
  • Aorto-iliac vascular disease
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8
Q

Special Tests: Thomas Test

A

Hip flexion contracture/tightness

  • Pt brings both knees to chest then lowers one.
  • (+) if pt unable to lower leg to table AND/OR arches thoracic spine when lowering leg
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9
Q

Internal snapping hip syndrome

A

subluxation of iliopsoas over bony prominence

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10
Q

Special Tests: Trendelenberg sign

A

Pelvis on side of elevated leg drops, indicates contralateral gluteus medius weakness

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11
Q

Special Tests: IT Band tightness

A

Ober Test:

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12
Q

Special Tests: Intra-Articular Hip

A
  • FABER/Patrick
  • Resisted straight leg raise
  • Log Roll
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13
Q

Measurement for leg length discrepancy

A

ASIS to Medial Malleoli: Significant if at least 2-3 cm

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14
Q

Signs/symptoms OA

A
  • Groin pain w/ wt bearing, relieved w/ rest
  • Decreased passive IROT
  • Lurch or Trendelenburg gait
  • (+) Provocative Tests: FABER, log roll, resisted SLR
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15
Q

Abutment of femoral had against the acetabulum due to osseous abnormality

A

Femeroacetabular impingment

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16
Q
  • Insidious onset of groin pain
  • Worse w/ hip flexion
  • Mechanical clicking/locking
  • Pain w/ FADER
A

Femoroacetabular impingement

17
Q

Types of FAI

A
  1. CAM: Young athlete-abnormal femoral head OR decreased head to neck ratio
  2. Pincer: Middle aged women-abnormal/extended acetabulum, femoral retroversion, protrusio acetabuli
  3. Mixed
18
Q

Complications of FAI

A

Early arthritis

Labral tears

19
Q

FAI: Imaging

A
  • XR: AP Pelvis + Cross table lateral view
  • CT Scan:
  • MR Arthrogram: Good for demonstration on labral tear
  • Alpha Angle: >50-55 degrees consistent w/ CAM impingement
    • Calculated form XR/CT/MRI
20
Q

Labral Lesion: Imaging

A

MR arthrogram

21
Q

Muscles Strains: Most common muscles

A

Hamstring: Pain w/ resisted knee flexion

Adductor: pain w/ resited adduction

NEED TO RULE OUT AVULSION

22
Q

Avulsion Fractures: Most commmon sites

A
  • Sartorius from ASIS: Forceful contraction w/ hip extended and knee flexed
  • Hamstring from Ischial Tuberosity
  • Rectus Femoris from AIIS
  • Adductor from pubic ramus
  • Iliopsoas from lesser trochanter
  • Abdominal muscle from iliac crest
23
Q

Internal snapping hip

A

Iliopsoas tendon over pectineal eminence of pelvis OR lesser trochanter

  • Pain w/ resisted hip flexion
  • (+) Thomas test
24
Q

External snapping hip

A

IT band subluxation over greater trochanter

  • (+) Ober test
  • (+) Tenderness over greater trochanter
25
Q

Inflammation on pubic symphysis

A

Osteitis pubus

26
Q
  • Pain in groin or pubis symphysis
  • Popping sensation w/ ambulation
  • Weakness w/ resisted adduction
  • (+) Hop test
    • Tenderness to palpation over pubic symphysis
A

Osteitis pubis

27
Q

Types of femoral neck stress fractures

A
  • Compression Type: Inferior aspect of femoral neck
  • Tension Type: Superior aspect of femoral neck
28
Q

Treatment: Compression type femoral neck stress fracture

A

Conservative

Physical Exam Course (7 decks)

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