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745 Exam 2 > Hip > Flashcards

Hip Flashcards

1
Q

External Rotators

A
  • prirformis (<60 deg)
  • gemellus superior/ inferior
  • obturator internus/externus
  • quadratus femoris
  • glute max
  • glute med/min (when flexed)
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2
Q

Internal Rotators

A
  • Pirformis (at 90deg)
  • semitendinosis
  • semimembranosus
  • adductors
  • pectineus
  • TFL
  • glute med/min (extended)
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3
Q

Functional ROM: shoe tying

A

120 deg flexion

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4
Q

Functional ROM: sitting

A

112 deg flexion

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5
Q

Functional ROM: stooping

A

125 deg flexion

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6
Q

Functional ROM: ascending stairs

A

67deg flexion

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7
Q

Functional ROM: squatting

A

115 deg flexion, 20 deg AB, 20 deg IR

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8
Q

Functional ROM: descending stairs

A

36 deg flexion

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9
Q

Functional ROM: putting o pants

A

90deg flexion

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10
Q

Functional ROM: putting foot on on opposite thigh

A

120 deg flexion, 20 deg AB, 20 deg ER

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11
Q

Associated motions Coxa Valga

A

long ipsilateral limb
posterior pelvic rotation
supinated ST jt
ER lower extemity

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12
Q

Compensation motions Coxa Valga

A

Ipsilateral- excess ST pronation, genur recurvatum, hip/knee flexion, forward pelvis

Contralateral- PF, excess ST supination, lumbar spine rotation

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13
Q

Associated motions Coxa Varum

A

short ipsilateral limb
anterior pelvic rotation
pronated ST jt
IR lower extemity

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14
Q

Compensation motions Coxa Varu

A

Ipsilateral- excess ST supination, PF, backward pelvic rotation, lumbar spine rotation

Contralateral- excess ST pronation, genu recurvatum, hip/knee flexion

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15
Q

Profile- Older population

A

hip osteoarthritis

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16
Q

Profile- women

A

slap lesion, trochanteric bursitis

17
Q

Profile- children

A

Legg-Calve-Perthes, osteochondritis dissecans

18
Q

Profile- middle aged

A

AVN

19
Q

Profile- athletes

A

labral tear, trochanteric bursitis

20
Q

Pain Location: Anterior

A 
Osteoarthritis
Hip flexor muscle tendinitis
Iliopsoas bursitis
Hip fx
Stress fx
Inflammatory arthritis
Acetabular labral tear
AVN femoral head
21
Q

Pain Location: Lateral

A

GT bursitis
Glute med dysfunction
ITB syndrome

22
Q

Pain Location: Posterior

A

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

23
Q

Causes/MOI OA

A 
aging process
joint trauma
repetitive abnormal stress
obesity
systemic diseases- RA
24
Q

Rheumatology guideliness for OA

A
  1. Hip pain AND hip IR < 15 deg
    OR
  2. Hip pain AND hip IR > 15 deg, pain hip IR, morning stiffness > 60min, age > 50
25
Q

Kellgren Scale

A

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

26
Q

Tests for labral tear

A 
Faber
Scour
Resisted SLR
Flex-Add-IR
Femoral-Acetabular Impingement Test
27
Q

Objective GTPS

A

palpation- tender over lateral hip

pain provoked with: resisted hip AB and IR, tightness ITB, trendelenburg’s

28
Q

Hip Muscular Strain- symptoms (pull or tear)

A

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)

29
Q

MOI hip muscular strain

A 
stretched muscle contracts suddenly
overstretching
fall or direct blow to muscle
overuse
inadequate warm up
lack of flexibility
poor posture
30
Q

MOI hip muscular strain

A 
stretched muscle contracts suddenly
overstretching
fall or direct blow to muscle
overuse
inadequate warm up
lack of flexibility
poor posture
31
Q

Classification hip muscular strain

A

1- minimal loss muscle strength
2- compromise in strength, not complete loss in function
3- complete loss of strength

745 Exam 2 (5 decks)

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