hip Flashcards
main hip flexor
iliopsoas
main hip extensor
gluteus maximus
main hip abductor
gluteus medius
main hip adductor
adductor magnus
main hip internal rotator
tensor fascia lata
main hip external rotator
gluteus maximus
what is a significan LLD?
2 cm
Proximal weakness is evidenced by a _________gait where the patient is relying on ________muscles, rather than flexor/extensors
Trendelenburn, abductors
This test puts patient in extended butterfly and tests the _______ joint
FABER, SI
This test is the same as the obturator test
FADIR (flexion adduction, internal rotation)
This problem is more common in males in 30’s-50’s who present c/o a dull ache/throbbing pain around hip (groin, lateral, or buttocks). It is most common in people with h/o EtOH, steroid use, SCC, or chemo
osteonecrosis of the femoral head (AVN)
Osteonecrosis AVN occurs over 5 stages on xray. What are they?
0) No change on xray
1) mottled densities
2) crescent sign, increased densities in femoral head
3) flattening of femoral head, normal joint space
4) narrowing joint space, acetabular changes
5) advanced degenerative changes
How can you treat ON/AVN of femoral head?
1) before collapse: core decompression
2) after collapse: hemi-arthroplasty or total hip
How many patients go on to have ON/AVN of the other hip?
50-90%
This problem is caused by friction from overuse, trauma, or a direct blow.
bursitis