HIP

Question 1

Osteoarthritis in the hip usually presents in patients older than

Answer 1

65

Question 2

What would be confirmed on an X-Ray

Answer 2

• Osteoarthritis
• decrease in ROM
• pain with weight bearing
• severe pain all the time even @ noc

Question 3

Is a condition where the blood supply to the femoral head is disrupted causing bone deathe

Answer 3

Avascular necrosis

Question 4

Avascular necrosis occurs @ what age?

Answer 4

20 - 30 yo

Question 5

Avascular necrosis is more dominant in males or females?

Answer 5

Male

Question 6

How does avascular necrosis present?

Answer 6

like osteoarthritis with groin pain or a labral tear

Question 7

Acute hip pain time line

Answer 7

3-4 weeks

Question 8

Subacute hip pain

Answer 8

12 weeks

Question 9

Chronic hip pain anywhere from

Answer 9

3 months

Question 10

Mechanism of injury: falling onto the side of the hip can lead to

Answer 10

trochanteric bursitis

Question 11

MOInjury: falling & landing on knee could jar the hip in the

Answer 11

acetabulum, possibly causing a labral tear

Question 12

What structures, issues are involved regarding the hip?

Answer 12

orsteoarthritis, labral tears, greater trochanteric pain syndrome and gluteal strains

Question 13

Pain involving the hip joint often presents

Answer 13

in the groin and length front or medial side of the thigh

Question 14

From where can pain be referred to lateral or posterior portion of the hip?

Answer 14

Lumbar spine

Question 15

Hip involving muscular or ligament pathology can refer pain to the

Answer 15

low back and/or knee

Question 16

When do you know it is trochanteric bursitis?

Answer 16

Point tenderness presenting over the greater trochanter

Question 17

Involved hip joint refers pain to

Answer 17

groin, along anterior or medial thigh

Question 18

Hip muscle/ligament involved refers pain to

Answer 18

low back and/or knee

Question 19

Lumbar spine involved refers pain to

Answer 19

lateral or posterior portion of the hip

Question 20

What type of pain is necessary to examine?

Answer 20

Somatic, Neurogenic?

Question 21

Identify the location of the pain through testing whether the pain is

Answer 21

nerve root or trigger point related

Question 22

Also determine through palpation whether _________ are irritated

Answer 22

bursa

Question 23

For the pain quality, deep pain in the groin, sometimes pinching sensation tends to be ________ related

Answer 23

hip joint pathology

Question 24

For the pain quality, soreness, ache, dull pain, sometimes sharp in the posterior glue can be either _________ or _______ related, test to determine which.

Answer 24

muscle or nerve root

Question 25

What is very important to determine regarding low back and/or hip dysfunction?

Answer 25

leg length and innominate position

Question 26

innominate

Answer 26

having no name

Question 27

innominate position

Answer 27

ilium, ischium, pubis on one side

Question 28

Normal degrees of PSIS to ASIS tilt (or PSIS is how many degrees higher than ASIS)

Answer 28

Normally 7-15 degrees | or looking at an average of 11 degrees plus/minus 4

Question 29

What 3 types of pelvic disparities are there?

Answer 29

1 - anterior pelvic tilt 2 - posterior pelvic tilt 3 - Hip Hike (lateral pelvic tilt)

Question 30

The type of anterior or posterior tilt can be either

Answer 30

bilateral or unilateral

Question 31

How can you determine the tilt degrees of the anterior/posterior tilt?

Answer 31

Palpating the ASISes w/PT standing

Question 32

How can you determine the tilt degrees of the HIP HIKE?

Answer 32

Palpating the ILIUMs w/PT standing

Question 33

3 types of Leg Length disparities

Answer 33

1 - Functional 2 - Structural 3 - Environmental

Question 34

Soft tissue change causing Leg Length Disparities are called:

Answer 34

Functional changes

Question 35

Boney changes causing Leg Length Disparities are called:

Answer 35

Structural changes

Question 36

Running surface, shoes causing Leg Length Disparities are called:

Answer 36

Environmental changes

Question 37

What is the third most common cause of running injuries ?

Answer 37

Leg length asymmetries ...

Question 38

In runners how much of a percentile of injuries are do to Leg Length Asymmetries?

Answer 38

60 -90 %

Question 39

What can movements or views can help tell if muscle shortness on one side is contributing to hip problem?

Answer 39

view feet, internal or external rotation of hip

Question 40

Which movement at the hip joint is the first restriction to occur in hip disease

Answer 40

INTERNAL rotation

Question 41

LOWER CROSS SYNDROME is

Answer 41

static

Question 42

What muscles are lengthened and weak in Lower Cross Syndrome?

Answer 42

Abdominals, Gluteals

Question 43

What muscles are tight in Lower Cross Syndrome?

Answer 43

Iliopsoas Erector spinae Hamstrings

Question 44

PSIS and ASIS are located how in Lower Cross Syndrome?

Answer 44

PSIS extra high | ASIS extra low

Question 45

LOWER EXTREMITY IMPAIRMENT SYNDROME is

Answer 45

functional

Question 46

How is the Lower Extremity Impairment Syndrome defined?

Answer 46

``` shortened (XS) • Erector Spinae • Iliopsoas • Rectus Femoris lengthened (DEF) • Abdominals • Gluten • Hamstings ```

Question 47

Palpate for

Answer 47

``` tenderness trigger points muscle spasm ah shi points boney abnormalities ```

Question 48

How should you palpate the Greater Trochanter?

Answer 48

From multiple angles

Question 49

What landmarks are important to be palpated assessing the HIP?

Answer 49

* PSIS * Iliac Crest * SI joint * Inguinal Ligament * Gluteal Musculature