Hip Flashcards
External Rotators
- prirformis (<60 deg)
- gemellus superior/ inferior
- obturator internus/externus
- quadratus femoris
- glute max
- glute med/min (when flexed)
Internal Rotators
- Pirformis (at 90deg)
- semitendinosis
- semimembranosus
- adductors
- pectineus
- TFL
- glute med/min (extended)
Functional ROM: shoe tying
120 deg flexion
Functional ROM: sitting
112 deg flexion
Functional ROM: stooping
125 deg flexion
Functional ROM: ascending stairs
67deg flexion
Functional ROM: squatting
115 deg flexion, 20 deg AB, 20 deg IR
Functional ROM: descending stairs
36 deg flexion
Functional ROM: putting o pants
90deg flexion
Functional ROM: putting foot on on opposite thigh
120 deg flexion, 20 deg AB, 20 deg ER
Associated motions Coxa Valga
long ipsilateral limb
posterior pelvic rotation
supinated ST jt
ER lower extemity
Compensation motions Coxa Valga
Ipsilateral- excess ST pronation, genur recurvatum, hip/knee flexion, forward pelvis
Contralateral- PF, excess ST supination, lumbar spine rotation
Associated motions Coxa Varum
short ipsilateral limb
anterior pelvic rotation
pronated ST jt
IR lower extemity
Compensation motions Coxa Varu
Ipsilateral- excess ST supination, PF, backward pelvic rotation, lumbar spine rotation
Contralateral- excess ST pronation, genu recurvatum, hip/knee flexion
Profile- Older population
hip osteoarthritis
Profile- women
slap lesion, trochanteric bursitis
Profile- children
Legg-Calve-Perthes, osteochondritis dissecans
Profile- middle aged
AVN
Profile- athletes
labral tear, trochanteric bursitis
Pain Location: Anterior
Osteoarthritis Hip flexor muscle tendinitis Iliopsoas bursitis Hip fx Stress fx Inflammatory arthritis Acetabular labral tear AVN femoral head
Pain Location: Lateral
GT bursitis
Glute med dysfunction
ITB syndrome
Pain Location: Posterior
Referred pain lumbar spine
SI joint dysfunction
Hip extensor/rotator muscle strain
Causes/MOI OA
aging process joint trauma repetitive abnormal stress obesity systemic diseases- RA
Rheumatology guideliness for OA
- Hip pain AND hip IR < 15 deg
OR - Hip pain AND hip IR > 15 deg, pain hip IR, morning stiffness > 60min, age > 50
Kellgren Scale
1- possible osteophytes, doubtful narrowing of space
2- definite osteophytes, definite narrowing of joint space
3- moderate multiple osteophytes, narrowing, some sclerosis, possible contour deformity
4- large osteophytes, severe sclerosis, narrowing, definite deformity
Tests for labral tear
Faber Scour Resisted SLR Flex-Add-IR Femoral-Acetabular Impingement Test
Objective GTPS
palpation- tender over lateral hip
pain provoked with: resisted hip AB and IR, tightness ITB, trendelenburg’s
Hip Muscular Strain- symptoms (pull or tear)
pain over injured muscle, increased pain with muscle contraction, swelling, loss of strength in muscle
Hamstrings- high speed movements (running)
Quads- soccer, rugby, football (kicking, jumping, running)
Adductors- soccer and hocker (kicking, change in direction)
MOI hip muscular strain
stretched muscle contracts suddenly overstretching fall or direct blow to muscle overuse inadequate warm up lack of flexibility poor posture
MOI hip muscular strain
stretched muscle contracts suddenly overstretching fall or direct blow to muscle overuse inadequate warm up lack of flexibility poor posture
Classification hip muscular strain
1- minimal loss muscle strength
2- compromise in strength, not complete loss in function
3- complete loss of strength
