Hip Flashcards

1
Q

External rotators

A
Piriformis (less than 60deg)
Superior/inferior gemellus
Obturator internus/externus
Quadratus femoris
Glut max
Glut med and min (flexed)
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2
Q

External rotators

A
Piriformis (less than 60deg)
Superior/inferior gemellus
Obturator internus/externus
Quadratus femoris
Glut max
Glut med and min (flexed)
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3
Q

Internal rotators

A
Piriformis (at 90deg)
Semitendi/membranosus
Adductors
Pectineus
TFL
Glut med and min (extended)
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4
Q

AROM

1. Flexion 2. Extension 3. Abduction 4. Adduction 5. ER 6. IR

A
  1. 110-120
  2. 10-15
  3. 30-50
  4. 30
  5. 40-60
  6. 30-40
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5
Q

Coxa Valga

A

> 125deg
Increased JRF
Mechanical disadvantage

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6
Q

Coxa Vara

A
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7
Q

Anteversion

A

Normal 8-15deg

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8
Q

Excessive anteversion

Retroversion

A

Increased IR

Increased ER

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9
Q

Anterior hip pain diagnoses

A
OA
Hip flexor strain/tendonitis
Iliopsoas bursitis
Proximal hip fracture
Stress fracture
Inflammatory arthritis
Labral tear
Avascular necrosis
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10
Q

OA

A

Gradual onset, IR limitation, abnormal FABER test

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11
Q

Hip flexor strain/tendonitis

A

Overuse, tenderness of muscle/tendon

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12
Q

Iliopsoas bursitis

A

Snapping sensation, tenderness over femoral triangle

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13
Q

Proximal hip fracture

A

Fall or trauma, limb is ER/abd/shortened, pain with any movement

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14
Q

Inflammatory arthritis

A

Morning stiffness, pain with PROM

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15
Q

Labral tear

A

Sharp groin pain relieved with hip extension, deep clicking

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16
Q

Lateral hip pain diagnoses

A

Greater trochanteric bursitis
Glut med dysfunction
IT band syndrome

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17
Q

Greater trochanteric bursitis

A

Insidious onset, tenderness over greater trochanter

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18
Q

Glut med dysfunction

A

Pain with resisted abduction, positive Trendelenburg

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19
Q

IT band syndrome

A

Lateral hip pain/snapping with walking, jogging

Positive Ober’s

20
Q

Posterior hip pain diagnoses

A

Referred pain from lumbar spine
SI joint dysfunction
Hip extensor or rotator muscle strain

21
Q

OA definition

A

Progressive joint disease resulting in degenerative changes of articular cartilage, capsular fibrosis, osteophyte formation

22
Q

OA MOI

A

Aging, joint trauma, repetitive stress, obesity

23
Q

Hip OA guidelines

A
  1. Hip pain AND IR 15 AND pain with IR AND morning stiffness 50
24
Q

Minimal joint space for OA

A
25
Q

Kellgren & Lawrence Scale

A

Grade 1: doubtful narrowing
Grade 2: definite osteophytes, definite narrowing
Grade 3: moderate osteophytes, definite narrowing, some sclerosis
Grade4: large osteophytes, marked narrowing, severe sclerosis, definite bone deformity

26
Q

Internal rotators

A
Piriformis (at 90deg)
Semitendi/membranosus
Adductors
Pectineus
TFL
Glut med and min (extended)
27
Q

AROM

1. Flexion 2. Extension 3. Abduction 4. Adduction 5. ER 6. IR

A
  1. 110-120
  2. 10-15
  3. 30-50
  4. 30
  5. 40-60
  6. 30-40
28
Q

Coxa Valga

A

> 125deg
Increased JRF
Mechanical disadvantage

29
Q

Anteversion

A

Normal 8-15deg

30
Q

Excessive anteversion

Retroversion

A

Increased IR

Increased ER

31
Q

Anterior hip pain diagnoses

A
OA
Hip flexor strain/tendonitis
Iliopsoas bursitis
Proximal hip fracture
Stress fracture
Inflammatory arthritis
Labral tear
Avascular necrosis
32
Q

OA

A

Gradual onset, IR limitation, abnormal FABER test

33
Q

Hip flexor strain/tendonitis

A

Overuse, tenderness of muscle/tendon

34
Q

Iliopsoas bursitis

A

Snapping sensation, tenderness over femoral triangle

35
Q

Proximal hip fracture

A

Fall or trauma, limb is ER/abd/shortened, pain with any movement

36
Q

Inflammatory arthritis

A

Morning stiffness, pain with PROM

37
Q

Labral tear

A

Sharp groin pain relieved with hip extension, deep clicking

38
Q

Lateral hip pain diagnoses

A

Greater trochanteric bursitis
Glut med dysfunction
IT band syndrome

39
Q

Greater trochanteric bursitis

A

Insidious onset, tenderness over greater trochanter

40
Q

Glut med dysfunction

A

Pain with resisted abduction, positive Trendelenburg

41
Q

IT band syndrome

A

Lateral hip pain/snapping with walking, jogging

Positive Ober’s

42
Q

Posterior hip pain diagnoses

A

Referred pain from lumbar spine
SI joint dysfunction
Hip extensor or rotator muscle strain

43
Q

OA definition

A

Progressive joint disease resulting in degenerative changes of articular cartilage, capsular fibrosis, osteophyte formation

44
Q

OA MOI

A

Aging, joint trauma, repetitive stress, obesity

45
Q

Hip OA guidelines

A
  1. Hip pain AND IR 15 AND pain with IR AND morning stiffness 50
46
Q

Minimal joint space for OA

A
47
Q

Kellgren & Lawrence Scale

A

Grade 1: doubtful narrowing
Grade 2: definite osteophytes, definite narrowing
Grade 3: moderate osteophytes, definite narrowing, some sclerosis
Grade4: large osteophytes, marked narrowing, severe sclerosis, definite bone deformity