Hip Flashcards
Coxa Valga
angle >140 degrees
Normal femur head angle
126-139 degrees
Anterversion
shaft of femur is rotated medially due to an increase in the torsion of the femoral neck
Anterversion could result in:
genu valgium and pes planus
Retroversion
shaft of the femur is rotated laterally due to a decrease in torsion of the femoral neck
Slouched posture results in shortened:
rectus femoris and hamstring
Slouched posture results in general limitation of:
hip rotation
Slouched posture results in:
- weak, stretched iliposas,
- weak and shortened posterior portion of gleutus medium
- Weak, poorly developed gluteus maximus
Hip flexors during gait
- control hip extension at end of swing stance
- contract concentrically to initiate swing
Hip extensors during gait
- control flexor moment at initial foot contact
- gluteus maximus initiates hip extension
Hip abductors
- control lateral pelvic tilt during swinging of the opposite leg
- lateral shifting of the trunk occurs over the weak side during stance when the opposite leg swings
Flat back posture:
shortened rectus femoris, IT band and gluteus maximus
Associated LE compensations of slouched posture
hip extension, medial rotation of the femur, genu recurvatum, genu varum, pes valgus
Genu valgum
knock knees
genu varum
bowleggedness
Painful hip syndromes/overuse syndromes
- tendinitis or muscle pull
- trochanteric bursitis
- psoas bursitis
- ischiogluteal bursitis
Common impairment
- pain
- gait deviations
- imbalance in muscle flexibility and strength
- decreased muscular endure
Post operative risks of THA
-DVT, pneumonia, infection
Anterior THA Approach (Smith-Peterson)
- incision made anterior and distal to the ASIS
- no muscles are detached
- rectus femoris and sartorius are retracted medially to access joint