Hip Flashcards

0
Q

Acetabulum depth measured by

A

center edge angle
center of femoral head to acetablum (Bone)
measures rook over femural head or contact area

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1
Q

Hip coxofemoral joint

A

ball socket 3 DOF

weight bearing

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2
Q

decrease center edge angle

A

dyplasia instability shallow lack coverage

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3
Q

increase center angle

A

decrease ROM, impingement increase coverage

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4
Q

acetabulum seats how

A

laterally inferiorly and anterior tilt 38 degree

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5
Q

labrum

A

fibrocartilage deepens socket wedge shaped

proprioceptive nerve ending

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6
Q

femoral head

A

w/ hyaline cartilage except fovea (ligamentum teres)

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7
Q

Angle of inclination norm

A

down shaft and up neck to head of femur

110-144 frontal plane

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8
Q

coxa valga

A

increased angle
decreased MA of hip ABD
knock knees
decrease force on neck bending

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9
Q

coxa vara

A

decrease the angle
increase MA of hip ABD
bow legged
increase force neck of femur

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10
Q

femoral torsion norms

A

condyles of knee and head of femur
10 to 20
transverse plane

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11
Q

femoral torsion anteversion

A
>15-20
increase IR Decrease ER
decrease MA ABD
condyles of knee medially rotated
increase Q angle
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12
Q

femoral torsion retroversion

A

<15 to 20

increase ER and decrease IR

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13
Q

Articular congruence best position

A

Hip flexed and ABD with ER

contact btw femur and acetabulum greatest

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14
Q

Hip joint

A

Thick ant and superior

femoral neck intracapsular

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15
Q

hip ligaments

A

iliofemoral a
pubofemoral a
ishiofemoral p
ALL TIGHT IN EXTENSION OF HIP

16
Q

closed pac position of HIP

A

EXT slight ABD IR of hip

17
Q

car accident example

A

hip flexed ADD most vulnerable position

posterior subloxation

18
Q

Hip flexion degrees

A

90 knee straight giving passive insuff of hamstrings

120 knee flexed

19
Q

closed chain

A

femur fixed pelvis motion

20
Q

anterior pelvic tilt

A

hip flexed and lumbar ext (seating upright at desk leaning forward)
errector spinae, illiopsoas, rectus femurs

21
Q

Posterior tilt

A

hip extended lumbar spine flexed

rectus ABD, glut max, hamstrings

22
Q

lateral tilt

unilateral standing on L HIP = R HIP HIKE

A

L - ABD
R - ADD
lumbar flex right

23
Q

bilateral pelvic tilit

R pelvic DROP

A

L - ADD
R - ABD
lumbar flexion L

24
Q

Gait rotation R hip walking pattern

A

R hip

ER w/ right foot forward
IR w/ right backwards

forward foot always ER and backward foot always IR

25
Q

HAT

A

heads Arms trunk 2/3s BW

26
Q

When standing on one leg what what happens (R LEG ex)

A

compensating by leaning to the right side dec MA of BW

and shifting COM to towards right side

27
Q

TRENDALENBERG

A

glut med weakness pain (antalgic gait)

28
Q

signs of trendelenburg

A

pelvic drop due to weak hip abd
weak left hip ABD - pelvic drop to the right

hip abd cant abd pelvis back to neutral in closed chain walkin

29
Q

Trendalenberg (+) signs

A

when standing on the right leg if the left hip drops its a (+) sign for right hip ABD weakness

pts will lean to affected side while walking in order to try to clear the L hip

30
Q

Femoral acetabular impingement FAI

A

hip bones rub against each other

31
Q

Femoral acetabular impingement FAI ( pincer )

A

superior acetabulum impinged tears ossification degeneration to anter superior labrum of acetabulum

32
Q

Femoral acetabular impingement FAI CAM lesions

A

lesions of femoral neck/head impingement usually caused excess bone rubbing