Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK > HIP > Flashcards

HIP Flashcards

1
Q

part of the hip bone that is a major attachment site for the glutes

A

ilium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

labrum is what shape

A

horse shoe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

labrum is a_____

A

vascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

weakest part of hip joint is where

A

area without a labrum (pos and inf)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

most labral tears occur where

A

sup portion of hip bc labrum is thickest there

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Y lig is aka

A

Iliofemeral lig

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

strongest lig in body

A

Y lig

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Y lig limits what motion

A

hip extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the other lig resisting hip ext

A

pubofemoral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

pubofemoral lig also tightens with what motion

A

abd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

so pubofemoral lig limits what motions

A

hip ext and hip abd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

on a pic, the pubofemoral lig is ant, the most

A

inf one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

most injured lig in hip

A

ischiofemoral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

why is ischiofemoral lig most injured

A

bc most pple have weak ER, and IR more common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

the main post lig in hip

A

ischiofemoral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

lig teres tightens with what motions

A

add, ER, flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

lig teres attaches what 2 structures

A

femoral head to inf acetabular rim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

where are the BV and nerves to the femoral head located

A

in sheath of lig teres

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

3 main bursa in hip

A

iliopsoas
trochanteric
ischiogluteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

coxa vara

A

like an upside down L

almost like a straight right angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what’s lengthened or stressed with coxa vara

A

glutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

coxa valga

A

like a wide V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is shortened and tight with coxa valga

A

ER are really tight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

explain anteversion

A

increased angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

with anteversion, they will compensate by doing what

A

toe in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

with anteversion, they will have lots of ____ and lack ____

A

lots of IR and lack ER (more end range ER)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Retroversion, they will lack ___ and have lots of ___

A

lack IR, but have lots of ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Retroversion is toe ____

A

out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Obturator N segments

A

L2, L3, L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Femoral N segments

A

L2, L3, L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

sciatic N segments

A

L4, L5

S1-S3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Lateral cutaneous to thigh N segments

A

L2-L3 (no motor function for lat cut to thigh N)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

femoral hypo mobility syndrome is associated with what pathologies

A

deg disease
decreased joint space
OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

sx of femoral hypomobility syndrome

A 
deep groin or deep hip px
referred px to medial knee
px with wt bearing or px with sit to stand
stiffness in the morn
sx after the age of 55
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

often times, those with femoral hypo mobility syndrome will have what kind of gait

A

trendelenberg gait

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what posture will be associated with femoral hypomobility syndrome

A

ant pelvic tilt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Legg calve perth disease, px is where

A

medial knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Legg calve perth disease, these motions are limited

A

mainly ext and ABD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

SCFE stands for

A

slipped capital femoral epiphysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

px for SCFE is where

A

referred to knee or thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

motions limited by SCFE

A

mainly IR and ABD and flexion (IR MAINLY)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

2 tests that should be pos with snapping hip or ITB syndrome

A

obers and GT bursitis tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

px with AVN is usually described as

A

dull, achy, throbby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

constant low back/buttocks px with same sided groin px for a person over 55 would make you want to look into

A

OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

lateral thigh px that increases with sit to stand, think

A

GT bursitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

SHARP px in ant sup groin area, look into

A

FAI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

You also have to look into sx review with groin/hip px, list some possiblities

A

hernia, female issues, GI probs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

how to find iliopsoas

A

1/3 way btwn umbilicus and ASIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

normal hip flexion is

A

120

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

normal hip ext is

A

20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

CRAIGS test is for

A

retro/anteversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

explain CRAIGS

A

prone, feel at GT as you IR and ER . at the “pop out” point you measure the tibial crest and perp to floor angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

normal CRAIGS should be

A

8-15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

which type of ____version usually goes along with squinting patella

A

anteversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

the patellar/pubic percussion test has very hight

A

sens and spec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

True LL is measured from ___ to ____

A

ASIS to lat mall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

hamstring strain is most often felt at

A

ischial tub (attachment)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

glut med strain is most often felt at

A

GT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

is snapping hip px ful at rest (usually)

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

px at the sup, ant hip, look into

A

FAI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

what 2 motions really hurt with ITB syndrome

A

adduction and flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

if pt had trauma 2-4 weeks ago and there is still px and bruising at the site, with palpable hard bumps at site, look into

A

myositis ossificans (refer out)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

if you suspect myositis ossificans, you NEVER do what

A

stretch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

PRICEMEM

A

protect, rest, ice, compress, elevate, manual therapy, early motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

hamstrings trains often occur bc what muscle imbalance

A

the pt usually uses the hams for the primary hip flexor instead of glut max

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

distinguishing diff adductors - which one is pos with leg straigth (for px)

A

gracilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

distinguishing diff adductors - which one is pos with hip at 45 deg (for px)

A

add longus or brevis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

if hip is at 90 degress and there is px with adduction

A

pectineus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

bursitis is common with what other pathologies

A

arthritic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

why is piriformis syndrome prevalent

A

20 % of pop actually has their sciatic pierce through that muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

piriformis syndrome will usually yield a pos ___test

A

fadir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

age range for AVN

A

30-50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

how can a displaced femoral neck fx lead to AVN

A

lack of blood supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

what motions cause px with AVN

A

ALL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

is there a loss of ROM with labral tears (usually)

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

reporting a feeling of giving out or clicking/popping =

A

labral tear (possible)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

what is C sign

A

putting a C around your hip, this is common px pattern with OA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

which movement sx impairment dx is hip OA

A

femoral hypomobility syndrome

79
Q

steriods, alchohol, trauma or chemo can be related with what pathology

A

AVN

80
Q

where is most common spot for labral tear

A

ant/sup

81
Q

weakest part of the hip

A

inf/post

82
Q

what motions aggravate labral tears

A

compression, adduction and any rotation

83
Q

type of impingment when the femoral head is larger than the acetabulum

A

cam

84
Q

type of impingement when the acetabulum overcovers the femoral head

A

pincer

85
Q

main test for FAI

A

scour/FADIR (scour can also be used for labral tear)

86
Q

anteverted people have very little

A

ER

87
Q

anteverted pple are toe _

A

in

88
Q

Retroverted pple lack ___

A

IR

89
Q

boney open packed position of the hip

A

30⁰ flexion, 30⁰ abduction, slight ER

90
Q

boney closed pack of hip

A

Maximum extension, IR, slight abduction

91
Q

Inf glides help with what motions

A

ABD (main one)
flexion
and IR when hip is at 90

92
Q

post glides help with

A

flexion (main one)
IR
and add when hip is at 90
POST = FID

93
Q

Ant glides help with

A

EXT **
ER
abd when hip is at 90
ANT = XEB

94
Q

lateral glides help with

A

IR
ADD
overall px

95
Q

femoral accessory hypermobility syndrome is associated with what pathologies

A
  • Labral tear

* Early DJD

96
Q

Femoral anterior glide syndrome (movement sx impairment) is associated with what pathologis

A
  • Femoral-acetabular impingement
  • Iliopsoas tendinopathy
  • Iliopsoas bursitis
97
Q

hip extension and knee ext dysfunction (movement sx impairment) is assct with what pathologies? also, explain this dysfunction

A
  • Sciatica
  • Hamstrings strain
  • Piriformis syndrome
  • Ischiogluteal bursitis

hip extension is the primary movement dysfunction, associated with a dominance of the hamstring muscles over the gluteus maximus.

98
Q

with ant pelvic tilt, what is tight and what is weak

A
  • Tight hip flexors
  • Weak abdominals
  • Weak gluts
99
Q

tx options for ant pelvic tilt (things to correct)

A 
Tx options:
Strengthen hamstrings
Strengthen gluts
Strengthing abs
Strengthen calves
Stretch hip flexors
Stretch quads
100
Q

before doing your resisted motion test, pt should be in ____ position

A

resting (30 deg flexion and abd and slight ER)

101
Q

hold trendelenburg stance for ___ sec

A

30

102
Q

explain the GT bursitis test (motions you put their hip in)

A

they are sidelying with knee flexed, you pull them into hip ext, then drop their leg in hip adduction, then hip flexion

103
Q

explain the side lying (straight abd only) hip muscle imbalance test

A

Patient in sidelying (affected side up) with knee extended. Have patient abduct hip. stabalize at their hip, Observe their movement pattern. If the leg moves into hip flexion or internal rotation, suspect hip flexor/TFL dominance.

104
Q

explain the side lying (abd with ER) hip muscle imbalance test

A

o Place the leg into an abducted, extended, externally rotated position. Ask them to actively hold the leg in that position. If the leg internally rotates or flexes again, suspect hip flexor/TFL dominance.

105
Q

What are you looking for with the SLR test (where you feel their GT as they raise their leg in supine)

A

feeling for movement of the GT
Positive: if the axis moves anteriorly > ½” , suspect muscle imbalance around hip, possible posterior hip joint capsular tightness

106
Q

scour test follows the same patten as

A

FADIR

107
Q

the WOMAC outcome measure is used to test for

A

OA (higher score is worse)

108
Q

for what assessment or mobs do you need a towel under the sacrum

A

for post assessement and mob

for the “quick and dirty” ant assessment

109
Q

when doing a post mob, your motion should go

A

down and out

110
Q

when doing prone ant mob, your motion should go

A

down and in

111
Q

when doing an inf mob (that is similar to the distraction technique) you pull ___

A

straight down

112
Q

when doing distraction, you pull

A

down and out a little

113
Q

good parameters for distraction

A

30-60 sec holds, 3-5 times

114
Q

most pple have more ____ motion in hip than ____

A

more ant than post (so post mobs are more used usually)

115
Q

what typically happens with a lateral femoral cutaneous N injury

A

it gets trapped under the inguianal lig

116
Q

stable vs non stable pelvic fxs

A

stable - no separation at pubic symphysis

unstable - there is separation and probably WB restrictions

117
Q

plates and screws are used with what type of fixation

A

ORIF (open reduction)

118
Q

list the post hip precautions

A

flexion, IR, add

119
Q

list ant hip precautions

A

ext, abd, ER

120
Q

hip precautions time frame usually

A

6 mos to a year

121
Q

surgical reshaping of bone

A

osteomy

122
Q

anterior displacement of the femoral neck due to the most superior part of the femoral head slipping (happens alot with obese children)

A

SFCE

slipped femoral capital epiphysis

123
Q

childhood condition where there is lack of blood supply to femoral head, causing it to flatten and limp is usually noted

A

Legg Calve Perths disease

124
Q

most common cause of hip px in kids

A

synovitis

125
Q

which type of femoral fx has an increased rate of AVN and non union

A

displaced femoral neck

126
Q

special test for FAI

A

FADIRR

127
Q

special test for labral tear

A

scour

128
Q

special test for piriformis syndrome

A

FADDIR

129
Q

naturally, the acetabulum faces what directions

A

ant
lat
inf

130
Q

dislocations usually occur in what direction

A

post

131
Q

list the grading scale to assess joint motion

A

0-6 (0 is nothing, 6 is unstable)

3 is normal

132
Q

If IT band is tight, what is probably weak

A

glut med (all gluts really) bc that means IT band is doing most of the work

133
Q

what pathology often has an MOI related to twisting or torsion

A

labral tear

134
Q

what pathology can have associations with alcohol use, or sterioids

A

AVN

135
Q

what is the capsular pattern

A

flexion
abd
IR

136
Q

femoral hypomobility syndrome is associated with what pathologies

A

DJD (early on)

137
Q

what direction does the ilium move in hip flexion

A

post

138
Q

normal femoral acetabular angle should be

A

125

Less than is coxa vara, more than is coxa valga

139
Q

sup gluteal N innervates

A

TFL
glut med
glut min

140
Q

segments to sup gluteal N

A

L4, L5, S1

141
Q

what peripheral N are both sensory and motor (10)

A 
obturator
femoral
sciatic
pudendal
tibial
common fib
medial plantar
lat plantar
deep fibular
superficial fibular
142
Q

N to fibularis longus and brevis

A

superficial fibular

143
Q

N to fibuarlis tertius

A

deep fibular

144
Q

extensors of lower leg are what N

A

deep fibular

145
Q

segments to deep fibular N

A

L4, L5, S1

146
Q

the cutaneous N are ____ only

A

sensory

147
Q

Inf gluteal N segments

A

L5, S1, S2

148
Q

N to quad femoris and gemellus Inf segments (these are motor only)

A

L5, S1, S2

149
Q

tibial N segments

A

L4, L5, S1, S2, S3

150
Q

N to post calf is

A

tibial N

151
Q

ischiofemoral lig limits what motions

A

IR

152
Q

common MOI for labral tears

A

compression or rotational forces (golf is an ex of rotational)

153
Q

arthrokinematics for hip flexion

A

femoral head rolls anteriorly and glides posteriorly on acetabulum

154
Q

hip extensors

A

primary - glut max

secondary - glut med and hamstrings

155
Q

hip abductors

A

Gluteus Minimus
Gluteus Medius
Tensor Fascia Latae
Gluteus Maximus

156
Q

hip IR (list)

A 
Gluteus Minimus (anterior fibers)
Gluteus Medius (anterior fibers)
Tensor Fascia Latae 
Adductor Longus 
Pectineus 
Gracilis
157
Q

hip ER (list)

A 
Gluteus Maximus 
Gluteus Medius
Piriformis
Gemellus Superior/Inferior
Obturator Internus/Externus
Quadratus Femoris
158
Q

the aggravating factor for the 2 pediatric conditions

A

walking - causes an antalgic gait

159
Q

what would be a common hx for a strain

A

overdominance of the muscle

160
Q

adductor strain would be what mvmt dx

A

hypomobility

161
Q

list the movement dx categories for hip

A 
hypomobility
hypermobility
femoral ant glide syndrome
hip ext with knee ext
hip ext with medial rotation
hip adduction (with or without medial rotation)
lateral rotation syndrome
162
Q

hypermobility is what pathologies

A

labrum tear and early DJD

163
Q

femoral ant glide syndrome is what pathologies

A
  • Femoral-acetabular impingement
  • Iliopsoas tendinopathy
  • Iliopsoas bursitis
164
Q

hip ext/knee ext is what pathologies

A
  • Sciatica
  • Hamstrings strain
  • Piriformis syndrome
  • Ischiogluteal bursitis
165
Q

hip ext with medial rotation is what pathologies

A
  • Hamstrings strain
  • Lengthened piriformis syndrome
  • Sciatica
166
Q

hip adduction syndrome is what pathologies

A 
Pathology
•	Trochanteric bursitis
•	Snapping hip syndrome
•	Sciatica
•	ITB faciitis
167
Q

lateral rotation syndrome is what pathologies

A
  • Hamstring muscle strain
  • Piriformis syndrome
  • Sciatica
168
Q

main mvmt dx associated with piriformis syndrome

A

lateral rotation syndrome

169
Q

In this movement dysfunction, there is insufficient posterior glide of the femur during hip flexion. It is associated with stiffness of the hip extensors and posterior hip joint structures and excessive flexibility of anterior hip joint structures which create a path of least resistance of anterior glide.

A

femoral ant glide

170
Q

how might you differentiate GT bursitis from glut med strain

A

often times bursitis has a squishy feel on palpation

171
Q

femoral hypermobility px would be with

A

WB - compression (bc of dx in this category)

172
Q

list the mvmt dx for hip

A 
hypomobility
hypermobility
Adduction
Ant glide
LR
ext with IR
ext and ext
173
Q

what pathologies are associated with femoral ant glide

A 
impingement
iliopsoas pathology (bursitis or tendon pathology)
174
Q

pathologies with ext ext

A

sciatica
hamstring strain
piriformis syndrome
ischiogluteal bursitis

175
Q

the only thing different about pathologies for ext with IR is

A

no ischiogluteal bursitis (others are same as ext ext)

176
Q

pathologies for hip adduction syndrome, everything is on the ___lateral

A

ITB
GT bursitis
Snapping hip

177
Q

both LR and ext with IR have what pathologies

A

hamstring strain
sciatica
piriformis

178
Q

areas for bursitis

A

iliopectineal
ishial gluteal
GT

179
Q

Constant low back/buttock pain and same-side groin pain, what might you think

A

OA

180
Q

Lateral thigh pain exacerbated when moving from sitting to standing, irritation when sleeping on one side….what might you think

A

GT bursitis

181
Q

sharp px in ant groin area

A

sharp - impingment

182
Q

FABER is for

A

OA

183
Q

scour is for

A

OA, labral tear

184
Q

what is craigs test

A

checks for ante/retroversion
feel when GT “pops” out the most
measure perp to floor against tibial crest when they are prone (8-15 normal)

185
Q

patellar pubic percussion test has very high

A

sens and spec

186
Q

true leg length is from ___ to ___

A

asis to lateral malleolus

187
Q

list segmental leg length markers and what they mean

A
  • Iliac crest -> greater trochanter (suggesting coxa vara or coxa valgus)
  • Greater trochanter -> lateral knee joint line (suggesting femoral shortening)
  • Medial knee joint line -> medial malleolus (suggesting tibial shortening)
188
Q

with LEFS ___ score is worse

A

lower

189
Q

increased femoral adduction during a mini squat may indicate weak

A

glut med

190
Q

which has a larger angle, anteversion or retro

A

anteversion

191
Q

labral tears typically have no restriction in

A

ROM

192
Q

observational test for adduction syndrome

A

good one is single leg stance (watch if they adduct)

193
Q

ischial bursitis is what movment pattern

A

//

MSK (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions