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MSK > Hip > Flashcards

Hip Flashcards

1
Q

The sacrotuberous ligament directly integrates with what muscles

A

glute max, biceps femoris, lumbar extensors

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2
Q

The only muscle that directly attaches to the sacroiliac joint

A

piriformis

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3
Q

Which nerve can cause very unpredictable patterns in the hip area

A

Sciatic

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4
Q

Most common area of hip joint pain

What needs to be considered in regards to pain

Where can pain be referred to from the hip

A

anterior groin / inguinal line

lumbar spine, SIJ, pelvic floor/ring, abdomen, pregnancy

lumbar spine, knee, pelvic floor

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5
Q

The pain provocation tests are

A

distraction, compression, FABER, thigh thrust

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6
Q

Hip extensors

Flexors

Adductors

Abductors

ER

IR

A

glut max, hamstring, adductor magnus, post glut med, piriformis

ilipsoas, rec fem, sartorius

adductor group

glut med, min, tfl

glut max, sartiorius, quad femoris

TFL, glut med, min

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7
Q

Tight hip flexors cause

A

anterior tilt of pelvis and lordosis of the spine

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8
Q

NOT all lateral hip pain is

A

trochanteric bursitis

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9
Q

Characteristics of greater trochanteric bursitis

Pain
Discomfort areas and movements

A
  • deep palpation immediately above or just posterior to greater tro
  • discomfort with abduction and lat rot, but NOT med rot
    discomfort in resisted ER
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10
Q

Characteristics of gluteal tendinopathy
Pain
Discomfort areas
what is it

A
  • back pain
  • local tendon and muscle pain
    may spread down thigh like nerve pain
  • tendon disorder in hips and glutes, causing tendon to deteriorate most common in older woman
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11
Q

Hip capsular pattern

A

Limited IR and flexion> Limited ABD

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12
Q

femoral anteversion vs retroversion

A

A: inward twisting of the femoral bone (pigeon toed)
R: outward twisting of the femoral bone

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13
Q

Most common sites of avulsion (tearing) injuries

A

iliac crest
iliac spine
ischium apophysis
lesser trochanter

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14
Q

Anterior dislocation of the hip is found in which movement
Posterior?

A

ER, Flex, ABD

IR, Flex, ADD

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15
Q

Characteristics of acetabular labral tears
Pain

A

Catching pain in ANT hip/groin
Pain pivoting from or arising from chair

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16
Q

Characteristics of FAI (femoral acetabular impingement)

Pain
Type of lesion
What is it

A

Stiff and painful hip
can lead to labral tear
surgery is often the best route
Cam and Pincer lesion
( Cam: resulting from a bony growth at the head of the femur
Pincer: resulting from extra growth in the hip socket
Often happens during childhood development
Combined: cam and pincer are present )

motion- related disorder with symptoms between proximal femur and acetabulum

17
Q

What test begins in hip flexion, abd, and ER and moves passively into extension, adduction and IR

A

Anterior labral test

18
Q

What test begins in hip flexion add and IR and ends in hip extension, abd, and ER

A

Posterior labral test

19
Q

Characteristics of labral pathology (5)
test
what is painful
where is painful
what movements are difficult

A

Scour test is done
IR at 90 degrees of flexion
single leg deep bend is difficult
C sign for hip
-deep discomfort that is mostly anterior groin region and sometimes butt pain

20
Q

Characteristics of FAI (6)
what test is done
what/where is painful
what movements are difficult

A

combined flex,add,IR
fabers test is done
decreased abd ROM
groin pain with flexion
pain with prolonged sitting
it is hard to get in and out of the car

21
Q

Mechanisms of injury for a stress fracture (4)

Signs/Symptoms (3)

General indications of injury

A

female gender
amenorrhea
smoking
steroid use

pain in the hip,groin,thigh
pain can refer to the knee
DO NOT IGNORE GROIN PAIN IN A RUNNER

previous injury, muscle imbalance (check both sides for normalcy)

22
Q

Meralgia Paresthetica is?
common causes? (3)

A

Pain or irritating sensation felt over the anterolateral aspect of the thigh due to injury, compression, or disease of lateral femoral cutaneous nerve

tight clothing, obesity, pregnancy

23
Q

Common sites of bursitis

A

iliopsoas, greater trochanteric, ischogluteal, obturator internus

24
Q

contusion is?
it is usually a result of?

A

bruise; place where blood capillaries have been ruptured
usually a result of direct trauma

25
Q

Condition where bone tissue forms within a muscle

cause
complications

A

myositis ossificans

history of direct blow or trauma
decreased ROM

26
Q

Snapping or clicking hip cases include (4)

A

hip joint (intra-articular)
hip joint (extra-articular)
pubis
sacral iliac joint dysfunction

27
Q

Characteristics of hip impingement syndrome for anteromedial impingement vs anterolateral impingement (3 for both)

A

AM:
groin pain with hip flexion
posterior hip during weight bearing
tight TFL
AL:
pain with weight bearing
ER of LE in stance
short ERs and hamstrings

28
Q

Characteristics of hip impingement syndrome for proximal impingement (4)

A

-pain percieved as deep, lateral to TFL, or proximal inner thigh
-discomfort or stiffness in AM
-worsens with activity
-short iliopsoas, rec fem, and TFL

29
Q

Pronation of the foot includes what 3 movements
Supination

A

P: calcaneal eversion, abduction, and dorsiflexion (ankle is leaning inward)
S: inversion, adduction, plantar flexion (ankle is leaning outward)

30
Q

The purposes of the body needing to PRONATE in order to SUPINATE (3)

Pronation is the collapsing of the chain as a result of?

What is the key to LE rehab?

A

-absorb shock in order to propel
-load in order to unload
-react in order to effectively act

-gravity
-ground reaction
-momentum

-controlling pronation!!!!!!!
(this avoids deceleration injuries)

31
Q

Pronation vs supination at the knee and hip (3 movements for both)

A

Pronation of knee: flex, abd, IR
Supination of knee: ext, add, ER
Pronation of hip: flex, add, IR
Supination of hip: ext, abd, ER

32
Q

Pronation succumbs to ______ is dominated by _______ and has _______
Supination overcomes _____ is dominated by ______ and has _______

A
  • succumbs to gravity, dominated by deceleration (eccentric) muscle function, shock absorption
    -overcomes gravity, is dominated by acceleration (concentric) muscle function, propulsion
33
Q

Friends of the quads? (3)

Factors that can increase Q angle? (4)

A

soleus, butt muscles, abdominals

-pronation too long into the gait cycle
-excessive LE pronation
decreased hip ER strength
-decreased hip extension strength

33
Q

For a simple squat what flexes the knee and what flexes the hip?

During function, every muscle works together to? (2)

What 2 muscles control knee and hip flexion to control pronation?

A

Gravity

-control the forces of gravity
-decelerate pronation

-quad (at the knee) and hamstring (at the hip)

MSK (2 decks)

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