Hip Flashcards

1
Q

Proximal Hamstring Strain Test

A
  • supine plank test

- supine on elbows with injured leg doing plank

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2
Q

How many muscles influence hip movement?

A

22 (anatomically)

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3
Q

Longest muscle in body

A

sartorius

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4
Q

FAI

A
  • femoral neck abutment with acetabulum
  • worse with flex/IR
  • cam/pincer lesion
  • associated with certain sports: dance etc
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5
Q

Cam lesion

A

-pistol grip lesion on xray

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6
Q

Active SLR with FAI

A
  • fem head moves ant with hip flexion instead of posterior

- -femoral anterior glide syndrome

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7
Q

Hip Pathology Continuum

A

FAI–>Labral Tear–>OA

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8
Q

Hip WB in Standing

A

0.5x BW

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9
Q

Hip WB in Stairclimbing

A

3x BW

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10
Q

Hip WB in Running

A

4.5x BW

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11
Q

Piriformis Syndrome S/Sx

A
  • buttock pan
  • sciatic nerve Sx
  • tender to palp
  • pain incr with walking/excessive sitting
  • SLR may incr Sx
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12
Q

Radiculopathy S/Sx

A
  • Hx LBP
  • pain in sitting
  • pain with trunk motion
  • Positive neurodynamic tests (slump, SLR)
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13
Q

SIJ Pathology S/Sx

A
  • pain w/ WB & palpation
  • pelvic asymmetry
  • SIJ provocation tests +
  • Radiating pain
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14
Q

S/Sx Proximal Hamstring Strain

A
  • pain around isch tuberosity
  • deep buttock pain
  • post thigh pn
  • worse with sitting
  • plank test positive
  • resisted hip ext/knee flex painful
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15
Q

Treatment of Prox Hamstring Strain

A
  • cross friction
  • eccentric hamstring work (single leg dead lift)
  • glut strengthening
  • slump stretching
  • core strengthening
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16
Q

FAI

A
  • femoral acetabular impingement
  • femoral neck abutment with acetabulum
  • cam vs pincer
17
Q

Pincer Impingement

A
  • acetabular overcoverage

- more in middle-aged females

18
Q

Cam Impingement

A
  • femoral head/neck deformity
  • large femoral head radius
  • causes shear on acetabular rim
  • more common in young males
19
Q

FAI S/Sx

A
  • swayback posture
  • limited hip flex/IR
  • decr post glide in flexion
  • groin pain with hip flex or standing with hip IR
  • FADIR+
  • Short TFL
  • Weak glut med/max, iliopsoas
  • C sign
20
Q

FAI Treatment

A
  • Post glides
  • Self glides
  • stretch TFL
  • Strengthen glut max/med and iliopsoas
  • core strength for sway back
21
Q

FAI–>____–>_____

A

FAI–> Labral Tear–> OA

22
Q

Hip OA Diagnosis

A
  • pain in the hip

- <115* hip flexion