Hip

Question 1

How to measure Q angle for hip?

Answer 1

1. one line from anterior superior iliac spine to middle of patella 2. other line from tibial tubercle to patella

Question 2

Name two types of leg length discrepancy.

Answer 2

1 Anatomical (true) method is from belly button to medial malleolus 2 Functional (apparent) method is from the ASIS to MM

Question 3

What is femoral anteversion and retroversion?

Answer 3

Femoral Anteversion is an angle less than 15 degrees Femoral retroversion is greater than 15 degrees

Question 4

Difference between coxa valga and coxa vara?

Answer 4

Normal angle of the hip is 120 degrees

Coxa valga has an angle > 120

Coxa vara has angle < 120

Question 5

What is the cause of hip dysplasia?

Answer 5

The head of the femur isn’t completely covered by acetabulum

can be fixed with surgery

Question 6

What is the MOI, S&S and Management of a

QUADRICEPS CONTUSION?

Answer 6

MOI: blunt trauma

S&S: Pain (often debilitating), loss of function, hemorrhage

Manage: POLICE (with knee in flexion)

Question 7

MOI, S&S, and Management for

MYOSITIS OSSIFICANS

Answer 7

MOI: blow or repeated blows, improper care of contusions

S&S: pain, decreased ROM

Management: conservative approach (rest, ice, NSAIDS) and surgical removal after 1 year

Question 8

MOI, SS, MANAGE

FEMUR FRACTURE

Answer 8

MOI: direct blow

S&S: extreme pain, deformity, muscle spasm, hemorrhaging, shock

manage: treat for shock, splint before moving, reduce following x-ray, extensive soft tissue damage., ice

Question 9

MOI, SS, and Management

QUADRICEPS MUSCLE STRAIN

Answer 9

MOI: sudden, violent, forceful contraction of quad muscles

S&S: Pain, feeling tight, possible swelling, decreased ROM and function (worse if Rectus Femorus is involved)

Manage: Ice, compression, rest, pain-free active ROM, progressive quad strengthening

Question 10

MOI, S&S, and Manage

HAMSTRING MUSCLE STRAIN

Answer 10

MOI: exact cause is uknown, eccentric contraction during sudden change of direction or take off- muscle fatigue, faulty posture, leg-length discrepancy, tight hamstrings, improper form, strength imbalance (60-70% strength of quads)

S&S: irritation and stiffness following cool-down. pain, loss function, discoloration

management: plice, nsaids, rest,stretching, strengthening

high recurrence= ensure mental ability to return to play

Question 11

Adductor/ hip flexor strain (groin strain)

Answer 11

-usually adductor longus

MOI: running and jumping combined with external rotation

S&S: pain w/ adduction and hip flexion…sudden or gradual onset

Manage: police, nsaids, after acute phase we start heat, stretching, and activity followed with ice

Question 12

MOI, SS, and Management

hip pointer (contusion of iliac crest)

Answer 12

Moi: blow to the crest of ilium and abdominal insertion

SS: handicapping pain, spasm, pain with trunk rotation and hip flexion, obvious discoloration

Manage: Ice, compression, rule out fx, donut pad

Question 13

Trochanteric Bursitis

MOI:

SS:

Manage:

Answer 13

MOI: gluteus medius and or IT band irritation of the greater trochanter of the femur, associate with increased Q angle

SS: lateral hip pain, pain radiating to knee, associated with tight IT band

Manage: rest, ice, nsaids, ROM exercises, check biomechanics

Question 14

Hip Labral Tear

MOI

SS

management

Answer 14

MOI deep hip flexion, repetitive movements: running, pivvoting of hip

SS: usually asymptomatic. may cause catching, locking, clicking pain in groin, feeling of stiffness of limited ROM

M: Hip ROM, strengthening, avoidance of certain movements, possible surgery

Question 15

What two tests are used to determine hip labral tears/ injuries?

Answer 15

1. FABER
2. FADIR

flexion- ab/adduction-internal/external rotation

Question 16

What disease is an avascular necrosis of the femoral head?

Answer 16

Legg Calve Perthes Disease

• most common in boys 4-10 years old
• reffered pain to the groin or knee, limited hip ROM
• no weight bearing, bed rest

Question 17

What is characterized by excessive repetitive movements where the IT band pops over the greater trochanter

Answer 17

Snapping hip

• causes instability, snapping during movement, possible pain in each snap
• ice, nsaids, ultrasound, stretching, strengthening

Question 18

What is a displaced femoral head?

Answer 18

Dislocated hip

nuff said