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OCS > Hip > Flashcards

Hip Flashcards

1
Q

Hip issue related to age: 0-2

A

develipmental dysplasia

septic arthritis

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2
Q

Hip issue related to age: 2-12

A

Acute transient synovitis

legg-calve-perthes

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3
Q

Hip issue related to age: 8-17

A

Slipped capital femoral epiphysis

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4
Q

Hip issue related to age: 5-30

A

Osteoid Osteoma (femoral neck)

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5
Q

Hip issue related to age: 40-50

A

Idiopathic Avascular Necrosis

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6
Q

Hip issue related to age: >35

A

RA

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7
Q

Hip issue related to age: >40

A

Degenerative Joint Disease

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8
Q

Hip issue related to age: >50

A

Hip fracture

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9
Q

Normal anteversion

A

8-15deg

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10
Q

Anteverted hip

A

torsion >15deg (toe in, excessive IR ROM)

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11
Q

Retroverted Hip

A

Torsion <8deg (toe out, excessive ER and limited IR ROM)

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12
Q

Transient Synovitis Symptoms

A

2-10yo
limp, refusal to walk
Fever <101
Decreased IR ROM

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13
Q

Legg-Calve-Perthes

A 
9-12yo male
Unilateral
Necrosis of femoral neck
Self limiting
Pain at night
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14
Q

SCFE

A

most common hip disorder in adolescents
9-17yo male, obese, african american
Growth plate not fused yet
Gradual symptoms

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15
Q

How to rule out intra-articular pathology

A

FABER test

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16
Q

Obturator Nerve Entrapment

A

Activity/exercise induced
Medial thigh pain with exercise, improves with rest
Adductor weakness WITHOUT pain
EMG diagnostic

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17
Q

Labral tear vs OA

A 
Labrum = pain at groin, peritrochanteric, ant thigh, ischial
OA = ant thigh or ischial
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18
Q

Osteonecrosis of Femoral Head (ONFH) risk factors

A

prior trauma
long term alcohol use
long term corticosteroid use
connective tissue disease (lupus)

19
Q

Hip OA CPG: diagnosis criteria

A 
A level
Mod ant/lat hip pain with WB
Morning stiffness <1hr
Hip IR <24deg
Hip IR and flex 15 less vs opposite side
Increased pain with passive IR
20
Q

Hip OA CPG: Outcome measures - pain

A 
A level
WOMAC - pain
BPI
PPT
VAS
21
Q

Hip OA CPG: outcome measures - activity limitation and participation restriction

A 
A level
WOMAC physical function
HOOS
LEFS
HHS
22
Q

Hip OA CPG: Exam - Activity limitation/physical performance measures

A 
A level
6min walk test
30 sec chair stand
Stair measure
TUG
Self paced walk
Timed single leg stance
4 square step test
Step test
23
Q

Hip OA CPG: Exam - Activity limitation/physical performance measures for balance

A

A level
Berg balance scale
4 square step test
timed single leg stance test

24
Q

Hip OA CPG: Exam - Physical Impairment measures

A

A level
FABER test
PROM: IR, ER, flex, ext, abd, add
MMT: IR, ER, flex, ext, abd, add

25
Q

Hip OA CPG: Interventions - Pt ed

A 
B level
Pt ed + exercise and/or manual
Activity modification
Exercise for weight reduction
Unloading joint
26
Q

Hip OA CPG: Interventions - Functional, gait, and balance training

A

C level
Impairment based training
Individualized program
AD training

27
Q

Hip OA CPG: Interventions - Manual therapy

A

A level

1-3x/wk for 6-12wks

28
Q

Hip OA CPG: Interventions - flexibility, strength, endurance

A

A level

Individualized programs

29
Q

Hip OA CPG: Interventions - Modalities

A

B level

US (1MHz; 1w/cm2 for 5 min)

30
Q

Hip OA CPG: Interventions - Bracing

A

F level, don’t use it

31
Q

Hip OA CPG: Interventions - weight loss

A

C level

Collaborate with other providers

32
Q

Nonarthritic Hip CPG: Risk factors

A

F level

  • presence of osseous abnormalities
  • local or global ligamentous laxity
  • connective tissue disorders
  • nature of pts activity and participation
33
Q

Nonarthritic Hip CPG: Diagnosis/classification - nonarthritic hip joint pain

A

C level - clinical findings of:

  • anterior groin or lateral hip pain, or generalized hip jt pain reproduced with FADIR or FABER
  • consistent imaging findings
34
Q

Nonarthritic Hip CPG: Exam: Outcome measures

A

A level

  • HOS
  • HAGOS
  • iHot-33
35
Q

Nonarthritic Hip CPG: Exam: physical impairment measures

A

B level

  • measures of hip pain
  • hip ROM
  • hip strength
  • movement coordination
36
Q

Nonarthritic Hip CPG: Intervention: pt ed and counseling

A

F level: modify aggravating factors

37
Q

Nonarthritic Hip CPG: Intervention: manual therapy

A

F level: jt mobs and STM when indicated

38
Q

Nonarthritic Hip CPG: Intervention: Therex and Therac

A

F level: can use therex and therac to address jt mobility, muscle flexibility, muscle strength, muscle power deficits, deconditioning, metabolic disorders

39
Q

Nonarthritic Hip CPG: Intervention: NMR

A

F level: use NMR to diminish movement coordination impairments

40
Q

Cam impingement

A

asphericity of femoral head, often related to SCFE

41
Q

Pincer impingement

A

acetabular abnormalities:

-excessive acetabular coverage anteriorly

42
Q

Combo Cam/Pincer impingement

A

likely most common presentation

43
Q

Acetabular labral tear mechanism

A

acute trauma (forceful rotation with hip in hyperextended position) or insidious onset

44
Q

Nonarthritic Hip CPG: Exam: balance

A

Berg balance scale
4-square step test
timed single leg stance test

OCS (21 decks)

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