Hip Flashcards
What is the nerve for the Illiopsoas Muscle?
Femoral nerve (L1-L2) `
What is the nerve for the Gluteus maximus muscle?
Inferior gluteal nerve (L5, S1, S2)
What is the nerve for the Gluteus medius muscle?
Superior gluteal nerve (L5, S1)
What is the nerve for the Adductor longus muscle?
Obturator nerve (L2-L4)
Name the contents of the central compartment of the hip.
Labrum, Ligamentum teres, Articular surfaces
Name the contents of the peripheral compartment of the hip.
Femoral neck, Synovial lining
Name the contents of the Lateral Compartment of the hip.
Gluteus medius, Gluteus minimus, Piriformis, IT band, Trochanteric bursae
Name the contents of the Anterior Compartment of the hip. What is a possible pathology that exists here?
Iliopsoas insertion, Iliopsoas bursae Psoas Tendonitis
4+/5 Grade on muscle strength test
Enough strength to fight against gravity and SOME resistance.
Describe a Hip Flexion SD.
Where is your cephalad/caudad hand?
How is the patient positioned?
Cephalad hand monitors the iliac crest, while the caudad hand holds the knee flexed.
The patient is lateral recumbent with affected side upwards.
Describe ME: Hamstring Hypertonicity.
Where do you stabilize?
Contralateral ASIS
Describe ME: Gluteus Hypertonicity
How is the patient positioned?
Where is your caudad/cephalad hand?
Lateral recumbant with foot placed on thigh.
Caudad hand stabilizes the PSIS
Hip External/Internal Rotation SD
How is the patient positioned?
Either prone or supine, with knee and hip placed in 90 degrees flexion.
How is soft tissue Hip Abduction Somatic Dysfunction/Iliotibial Band Restriction performed?
Where does the physician stand?
Opposite affected IT Band
Hip Abduction Somatic Dysfunction/Iliotibial Band Restriction
Muscle Energy: Hypertonic Long Adductor of Lower Extremity
Vs
Muscle Energy: Hypertonic Short Adductor of Lower Extremity
What is the key difference in position of the patient?
Physian will abduct with a straight leg for Hypertonic Long Adductors.
In this case stabilization occurs on the knee with caudad hand.
In Hypertonic Short abductors the tested leg is externally rotated and flexed at the thigh and knee with the foot resting against the other thigh.
In this case stabilization occurs on the hip with caudad hand
Indications for MET/ART
Balance muscle tone
Strengthen weak muscles
Reduce asymmetrical motion
Enhance circulation of bodily fluids
Length shortened muscle
Well tolerated in all age groups
Apply ART when ME is not indicated
Contraindications of MET/ART
Fractures or acute sprains
Dislocations
Spinal segmental/joint instability
If technique promotes tendon avulsion
Situations worsened by muscle activity
(eg. Post-surgery, post-MI, metastasis)
Neurovascular compromise
Unable/Unwilling to follow verbal commands
What is the cause of a Hip Abduction Dysfunction?
What did we learn to treat this aside from ME/ART?
Hypertonic IT band, connecting to the tensor fascia lata
Gluteus medius/minimus
Sartorius
Soft tissue/MFR
What causes an Hip Adduction SD?
Hypertonic Long/Short Adductors
Muscles that cause Hip IR SD?
Same as Hip adduction
Gluteus medius, gluteus minimus, tensor fascia lata
Muscles that cause Hip ER Dysfunction?
Gluteus maximus, piriformis,
sartorius, obturator internus/externus,
superior/inferior gemellus, quadratus femoris
Hip Extension Somatic Dysfunction
Hamstrings (straight leg) or Gluteus Maximus (knee bent)
