Hip Flashcards
Hip bones
- Ilium
- ischium
- pubis
iliofemoral ligament
limits extension and ER
ischiofemoral lig
limits extension, IR and Adduction
pubofemoral lig
limits extension and ABDuction
blood supply to femoral head
- medial circumflex
- lateral circumflex
- ligament of teres (obturator artery)
coxa valga
angle 125 or greater.
coxa vara
angle 125 or less
anteversion
angle 15 or greater, leads to toe in
excessive IR and decreased ER
retroversion
angle of 15 or less, leads to toe out
excessive ER and decreased IR
hip flexion rom
110-120
tissue approximation or stretch
hip extension rom
10-15
tissue stretch
hip abduction rom
30-50 tissue stretch
hip adduction rom
25-30
tissue approx or stretch
Hip ER rom
40-60
tissue stretch
Hip IR rom
30-40
tissue stretch
closed pack position of hip
slight extension. ABDuction and IR
Open packed position of hip
10-30 flexion, 10-30 ABDuction and 0-5 ER
bursas of the hip 3
- iliopsoas bursa- deep to the psoas tendon. cushions anterior aspect of hip joint capsule
- superficial trochanteric bursa- between greater trochanter and TFL
- ischiogluteal bursa- between ischium and gluteal muscles. aka weavers bottom
external snapping
- Iliotibial band snapping over greater trochanter, hip ADDuction and knee extension will tighten the IT band and increase snapping
- Iliopsoas tendon catching on pelvic brim/iliopectineal eminence, or femoral head. enhanced by tight iliopsoas and can cause bursitis
internal snapping
torn labrum, possible loose bodies
posterior capsule tightness
IR decreased, ER normal.
Anterior capsule tight
ER decreased, IR normal
initial contact angles of hip, knee ankle
hip- 20 flex
knee- 0(5)
ankle- 0
loading response angles of hip, knee ankle
hip- 20
knee- 15
ankle- 5 plantarflex
mid stance angles of hip, knee ankle
hip- 0
knee- 0 (5)
ankle- 5 dorsiflex
terminal stance angles of hip, knee ankle
hip- 20 apparent ext
knee- 0 (5)
ankle- 10 dorsiflex
pre swing angles of hip, knee ankle
hip- 0 (10)ext
knee- 40 flex
ankle- 15 plantarflex
initial swing angles of hip, knee ankle
hip- 15 flex
knee- 60
ankle- 5 plantarflex
mid swing angles of hip, knee ankle
hip- 25
knee- 25
ankle- 0
Terminal swing angles of hip, knee ankle
hip- 20
knee- 25
ankle- 0
lumbo sacral special tests
- lumbar rom
- standing flexion
- long sit
- si compression/distraction
- spring test
extra articular special tests
- modified thomas
- elys
- obers
- palpation
- manual muscle tests