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PT EVAL FINALS > Hip > Flashcards

Hip Flashcards

(73 cards)

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1
Q

Most significant and most stable joint

A

Hip Joint

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2
Q

Why the hip joint has the maximum stability.

A

It is because of the insertion of the femoral head into the acetabulum.

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3
Q

The most mobile joint.

A

Shoulder Joint

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4
Q

True or False: Femur has a longer neck than the humerus and more antverted.

A

True

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5
Q

How many degrees of freedom does the Hip joint have?

A

3 DOF: Sagittal, Transverse, Frontal Plane

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6
Q

This structure helps deepen and stabilize the joint.

A

Acetabular Labrum

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7
Q

The acetabular labrum is formed by your?

A

Ischium, Ilium, Pubis

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8
Q

Your Ischium, Ilium, and Pubis are also called?

A

Innominate Bones

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8
Q

This enhances the nutrition of the hip cartilage and provides a smooth, gliding surface.

A

Acetabular Labrum

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9
Q

The acetabular labrum plays a secondary role in stabilizing the hip during ________.

A

Hip Lateral Rotation and Anterior Translation

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10
Q

OPP for Hip Joint

A

30 Hip Flexion, 30 Hip Abduction, Slight ER

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11
Q

CPP for Hip Joint

A

Full extension, medial rotation and abduction.

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12
Q

CP for Hip Joint

A

Hip Flexion, Abduction, and Medial Rotation
Some cases, IR>F>Abd

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13
Q

Forces on the Hip: Standing

A

0.3 times the body weight

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14
Q

Forces on the Hip: Standing on one limb

A

2.4-2.6 times the body weight

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15
Q

Forces on the Hip: Walking

A

1.3-5.8 times the body weight

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16
Q

Forces on the Hip: Walking upstairs

A

3 times the body weight

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17
Q

Forces on the Hip: Running

A

4.5+ times the body weight

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18
Q

Anterior Ligament/s of the Hip Joint

A

Iliofemoral Ligament

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19
Q

Another term for Iliofemoral Ligament

A

Y Ligament or Ligament of Bigelow

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20
Q

The strongest ligament in the body

A

Iliofemoral Ligament

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21
Q

This structure is positioned to prevent excessive extension and limits anterior translation. It plays a significant role in stabilizing and maintaining an upright posture of the hip.

A

Iliofemoral Ligament

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22
Q

This ligament is the weakest ligament of the hip. Stabilize the hip during extension.

A

Ischiofemoral Ligament

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23
Q

Prevents excessive abduction of the femur and limits extension

A

Pubofemoral Ligament

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24
Prevents excessive Internal Rotation of the Hip.
Iliofemoral, Ischiofemoral, Pubofemoral Ligament
25
Provides a physical attachment of the head of the femur to the acetabulum. From the foveal head, it sticks to the labrum.
Ligamentum Teres
26
Bursa of the Hip Joint
Trochanteric Bursa Iliopsoas Bursa Gluteus Medius Bursa Ischiogluteal Bursa
27
The normal degrees of angle of Wiberg/Central Edge Angle
20-30 degrees
28
The acetabulum covers the top of the femoral head. This is measured as the intersection of a vertical, fixed reference line (stippled line) with the acetabular reference line (bold solid line) that connects the upper lateral edge of the acetabulum with the center of the femoral head.
Center Edge Angle/ Angle of Wiberg
29
Implication for the Center Edge Angle/Angle of Wiberg
The more vertical the acetabular reference line, the smaller the CEA. (means less superior coverage of the femoral head)
30
This measurement indicates the extent to which the front to which the acetabulum covers the front of the femoral head.
Acetabular Anteversion Angle
31
This measurement defines how much the acetabulum covers the top of the femoral head.
Angle of Wiberg/ Center Edge Angle
32
Acetabular Anteversion Angle is formed by _____.
The intersection of a fixed anterior-posterior reference line with an acetabular reference line that connects the anterior and posterior rim of the acetabulum.
33
The Implication of Acetabular Anteversion Angle
Inversely Proportional: Larger acetabular anteversion angle means less acetabular containment of the anterior side of the femoral head.
34
Femoral Anteversion/Femoral Torsion is formed by?
*Axis of femoral condyles at the knee *Axis of the femoral head
35
Normal Angle for femoral anteversion
8-15 degrees
36
If the femoral anteversion has a less 8 degrees angle, it means?
lateral femoral torsion (retroversion)
37
If the femoral anteversion has a less 15 degrees angle, it means?
medial femoral torsion (anteversion)
38
Average degrees of the Angle of Inclination/Neck-shaft Angle
125 degrees
39
If increased Neck-Shaft Angle, what will happen?
Coxa Valga
40
If decreased Neck-Shaft Angle, what will happen?
Coxa Vara
41
Some causes of coxa vara
1. Congenital 2. Fracture 3. Slipped Capital Femoral Epiphysis
42
Draw lumbar and sacral plexus
Oki
43
Condition of the patient when infancy, primarily in girls
Congenital Hip Dysplasia
44
Condition of the patient 3-12 years old, more common in boys
Legg-Calve-Perthes Disease
45
The condition of the patient for elderly women is more prone.
Osteoporotic Femoral Neck Fracture
46
This condition of the patient is after the onset of puberty: Boys, 12-16 Girls, 10-14
Slipped Capital Femoral Epiphysis
47
Land on the outside of the hip
Trochanteric Bursitis
48
Land on or hit the knee, thus jarring the hip.
Subluxation, Acetabular Tear
49
Is the patient involved in repetitive loading activity?
Femora Stress Fracture or Osteoporotic Insufficiency Injury
50
Felt mainly in the groin and along the front of the medial side of the thigh to the knee
Hip intra-articular pain
51
Posterior labral tears and lumbar spine problems?
Buttocks Pain
52
Result of overactive adductors caused by pelvic instability
Adductor Pain
53
The sciatic nerve may be compressed, the piriformis muscle is tender, and hip abduction and lateral rotation are weak. What condition is this?
Piriformis Syndrome
54
It is important to check the patient’s proprioceptive control in the joints being assessed.
Balance
55
Watch for pelvic obliquity can be caused by unequal leg length, muscle contractures, or scoliosis.
Posture
56
The limb is shortened, adducted, and medially rotated, and the greater trochanter is prominent.
Traumatic Hip Dislocation
57
The limb is abducted and laterally rotated and may appear cyanotic or swollen owing to pressure in the femoral triangle.
Anterior Hip Dislocation
58
Limb is shortened and laterally rotated.
Intertrochanteric Fracture
59
Normal Values for Hip Flexion
0-120 degrees
60
Normal Values for Hip Extension
120-0 degrees
61
Normal Values for Hyper Hip Extension
0-20 degrees
62
Normal Values for Hip Abduction
0-45 degrees
63
Normal Values for Hip Adduction
0-30 degrees
64
Normal Values for Hip IR
0-45 degrees
65
Normal Values for Hip ER
0-45 degrees
66
How to tell if the goniometer is aligned/straight?
Use bony landmarks as a reference 1. Flexion & Extension- Lateral Epicondyle 2. Abduction & Adduction- Patella 3. IR & ER- Tibial Crest
67
Goniometer for Hip Flexion
Fulcrum: Femoral Greater Trochanter Stationary Arm: Parallel to the trunk Distal Arm: Parallel with the longitudinal axis of the femur in line with the lateral femoral condyle
68
Goniometer for Hip Extension
Fulcrum: Femoral Greater Trochanter Stationary Arm: Parallel to the trunk Distal Arm: Parallel with the longitudinal axis of the femur in line with the lateral femoral condyle
69
Goniometer for Hip Abduction
Fulcrum: ASIS on the measured side Stationary Arm: Directed to opposite ASIS Distal Arm: Parallel to the femur, directed to the center of the patella
70
Goniometer for Hip Adduction
Fulcrum: ASIS on the measured side Stationary Arm: Directed to opposite ASIS Distal Arm: Parallel to the femur, directed to the center of the patella
71
Goniometer for Hip IR
Fulcrum: Anterior surface of Mid Patella Stationary Arm: Perpendicular to the Floor Distal Arm: Parallel to the midline of long axis of the tibia
72
Goniometer for Hip ER
Fulcrum: Anterior surface of Mid Patella Stationary Arm: Perpendicular to the Floor Distal Arm: Parallel to the midline of long axis of the tibia

PT EVAL FINALS (4 decks)

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