Hip Flashcards
Purpose of hip inf glide
abd
Purpose of posterior glide hip
Flexion and IR
Purpose of Ant glide
ext ER
Purpose of post lateral glide
IR
Purpose of Lateral glide
add, IR
Special tests of hip
Thomas test Ober test Elys test SLR Trendelenberg Taking off shoe Craig test FABER FADDIR Log roll test Scour
Common hip Dx
OA muscle strains Labral tear FAI instability Fx
For hip OA, there i decreased IR of ____ or limited IR and flexion of ______
24 degrees
15 degrees
Which modality should you consider for hip OA. lol
ultrasound 1MHZ, 1W/cm2 for 5 mins
Bracing as OA is not recommended as
first line of treatment
How do you Dx glue med tendinopathy or tear?
lateral hip pain
hip drop during SLS test
+Trendelenberg
How do you Dx hamstring strain?
Bent knee stretch test
Taking off shoe test
What is included in hamstring intervention?
avoid painful stretching
gradual eccentrics
Trunk+hip strengthening
What are the bursa of the hip?
Iliopsoas
Trochanteric
Glute med
Ischiogluteal
Resisted isometric testing can result in a false positive finding if there is
a bursa underlying the contractile unit.
Most common hip labrum torn?
anterior-superior
What is best imaging for labral tear?
MR arthrogram
for labral tears, hip arthroscopy is the
gold standard
What are characteristics of labral tear?
ant groin pain
popping, locking,snapping
instability with squats
pain with FABER FADDIR
Characteristics of FAI
sharp/stabbing pain with sitting
+Faddir
>20deg IR @ 90deg F
2 types of FAI
Pincer (acetabulum)
Cam
Hip instability characteristics
+Faber/faddir
IR >30 degrees with flexion
instablity in squat
In an adult with unDx hip pain, ______ is a possibility,
what happens if it is suspected?
avascular Necrosis
contact physician
Symptoms for pediatric AVN
SCFE (high BMI)
has limp with hip in ER
decreased passive IR
could have only knee pain
Symptoms of adult AVN
alcohol abuse Steroid use Sickle Cell disease HIV decompressin sickness
Adult AVN ROM limitations
Extension <15 deg
ER <60 deg
What does taking off shoe test look for?
Biceps femoris tendinopathy
What does craig test look for?
Femoral anteversion/retroversion
Anterversion is when pt is more _____ from neutral.
Retroversion?
Interanally rotated
Externally rotated.
What does scour test loook for
OA
labrum tear
What does log roll test look for?
Labral tear/hip patho
