Hip

Question 1

labral tear in hip: tests

Answer 1

> ant. hip impingement test (start with hip in flexion, knee flexed, hip IR, move to hip ext. and ER)
FABER

Question 2

Tx labral tear in hip

Answer 2

posterior glide to inc. flexion, distraction, contract/relax stretching
passive SLR, hip abductions, balance and SLS

Question 3

what actions do u avoid with a hip labral tear

Answer 3

hip hyperextesion and forced flexion

Question 4

tests: femoral neck fracture

Answer 4

IR/ER will reproduce pain and be limited

pain with resisted ER

Question 5

tx: femoral neck fracture

Answer 5

glides, crutch training, education, RICE, clycling, strengthen IR/ER

Question 6

Tests: Illiopsoas snapping hip

Answer 6

thomas test
FABER
MMT

Question 7

what does the illiopsoas tendon snap over?

Answer 7

lesser trochanter

Question 8

tx for snapping hip

Answer 8

stretch iliopsoas (contract relax), myofascial release, inferior glide, SLR, bridging, core, isometrics

Question 9

hip OA tests:

Answer 9

distraction/compression, scour

Question 10

hip OA tx:

Answer 10

lateral glide to inc. abduction and joint space, post glide to inc. flexion/IR, clams, walking, high reps, low resistance, low WB for joint health :)

Question 11

trochanteric bursitis (external): test

Answer 11

palpate bursa, mod ober’s test, check gait for over pronation, FABER, goni in abduction, extension, ER

Question 12

external trochanteric bursitis: tx

Answer 12

medial patellar glides, lateral and caudal/inferior glides to inc. joint space, ant. glide for inc. exten/ER, foam roller to IT band
strengthen hip abductors with clams, SLS, etc. stretch IT band

Question 13

Test: hamstring strain

Answer 13

hammy length, empty end feel?, weak MMT?

Question 14

Tx: hamstring strain

Answer 14

hold/relax stretch, e-stim, US, HMP for pain, heel slides, prone hammy curls

Question 15

anterior glide of hip

Answer 15

extension/ER

Question 16

post. glide of hip

Answer 16

flexion/IR

Question 17

superior glide of hip

Answer 17

hip adduction

Question 18

inferior glide

Answer 18

hip abduction

Question 19

fxnl hip mvmts: ROM

1) shoe tying
2) sitting
3) stooping
4) squatting
5) ascending stairs
6) descending stairs
7) putting foot on opp. thigh
8) putting on pants

Answer 19

1) 120 deg. flex
2) 112 deg. flex
3) 125 deg. flex
4) 115 flex, 20. abd, 20 IR
5) 67 flex
6) 36 flex
7) 120 flex, 20 abd, 20 ER
8) 90 flex

Question 20

what is a normal femoral neck to femur angle?

Answer 20

125 degrees

Question 21

what is coxa valga

Answer 21

increased femoral neck angle, 170 deg.

Question 22

what is coxa vara

Answer 22

decreased femoral neck angle, 100 deg.

Question 23

side effects of coxa valga

Answer 23

inc. joint rxn forces

Question 24

side effects of coxa vara

Answer 24

dec. joint rxn forces, inc. shear forces on femoral head and neck (fxs) damages epiphyseal plate

Question 25

normal femoral anteversion

Answer 25

8-15 degrees

Question 26

excessive anteversion

Answer 26

> 15 degrees

Question 27

retroversion

Answer 27

< 8 degrees

Question 28

test for femoral anteversion?

Answer 28

craig’s test

Question 29

posterior approach THA precautions

Answer 29

flex> 90
adduction past midline
IR

Question 30

ant. approach THA precautions

Answer 30

avoid hip flex >90
hip extension
ER

Question 31

in a trochanteric osteotomy, avoid what?

Answer 31

gravity eliminated abduction for 6-8 wks

Question 32

adult avascular necrosis: causes

Answer 32

alcoholism
steriod use
trauma
35-45 years old
art. degeneration

Question 33

adult avascular necrosis S&S

Answer 33

pain in buttocks, knees and ant. lateral thigh, limited ROM in hip abduction and IR

Question 34

adult avascular necrosis tx:

Answer 34

AD training
activity modification
hip ROM and strength
sx normally needed

Question 35

S&S piriformis syndrome:

Answer 35

post. buttock pain, pain down back of leg, pain inc. with sitting,
flat back posture
N/T
pain with palpation of greater sciatic notch

Question 36

tests for piriformis

Answer 36

SLR

piriformis test