hip

Question 1

what is present if the hip collodiaphyseal angle is less then 120 degrees?

Answer 1

coxa vara

Question 2

what is the collodiaphyseal angle?

Answer 2

angle between femur and femoral head

Question 3

what part of the labrum has decreased vascularization compared to the other regions

Answer 3

superior region

Question 4

what is the coxafemoral joint?

Answer 4

hip joint

Question 5

what supplies the sensory innervation of the anterior hip joint?

Answer 5

sensory branches of the femoral and obturator nerves

Question 6

what supplies the sensory innervation of the posterior hip joint?

Answer 6

sacral plexus

Question 7

where will anterior pubic symphesis pathology refer?

Answer 7

groin pain

Question 8

where will posterior pubic sympthesis pathology refer?

Answer 8

genital pain

Question 9

during movements such as the eccentric portion of the squat what motions occur at the femoral head?

Answer 9

flexion, abduction, IR

Question 10

during movements such as the concentric portion of the squat what motions occur at the femoral head?

Answer 10

extend, adduct, ER

Question 11

with patients between the ages of 4-10 what two conditions do you need to be aware of in the hip?

Answer 11

transient synovitis, legg-calves-perthes disease

Question 12

what age do you need to be most aware of OCD?

Answer 12

15-25

Question 13

what age do you need to be aware of Legg-Calves-Perthes?

Answer 13

4-10

Question 14

what is Legg-Calves-Perthes?

Answer 14

AVN of the femoral head that impact the epiphyseal plate and causes issues with growth.

Question 15

what is a CPR for hip OA (5 items)

Answer 15

squatting is painful, active hip flexion causes lateral hip pain, scour test with adduction causes pain, active hip extension causes pain, passive IR <25 degrees

Question 16

what happens during an idiopathic synovial reaction at the hip?

Answer 16

basically frozen shoulder of the hip.

Question 17

what are reliable predictors of ambulation ability following THA (2 factors)?

Answer 17

hip abductor strength, knee extension strength

Question 18

what four things must someone be able to do after a THA to DC to home?

Answer 18

transfer from bed to standing, rise from a chair to standing, ambulate 100 feet, ascend and descend stairs independently

Question 19

what patient profile do you need to be cautious with for transient synovitis?

Answer 19

under the age of 6, usually male, recent illness

Question 20

at what age should you be concerned with a SCFE in boys and in girls?

Answer 20

13-15 in boys, 11-15 in girls

Question 21

do SCFEs happen acutely or gradually?

Answer 21

both, acute presents with significant groin pain, gradually presents with limited IR and flexion

Question 22

what is the Drehmann sign?

Answer 22

limited hip IR, increased hip ER, obligatory increased abduction and ER during passive flexion

Question 23

what conditions may present with a positive Drehmann sign?

Answer 23

SCFE, LCPD

Question 24

what is the clinical triad for a loose body in the joint?

Answer 24

non capsular pattern of limitation, pathological end feel, sharp shooting pain with leg giving way

Question 25

what is the sign of the buttock and what does it indicate?

Answer 25

noncapsular pattern with limited hip flexion with knee bent and straight, indicates a serious red flag

Question 26

how does hamstring syndrome develop?

Answer 26

it is a result of nerve entrapment and irritation as the sciatic nerve courses around the ischial tuberosity and through a fibrous band projecting from the biceps femoris as it inserts upon the tuberosity

Question 27

how can you dx hamstring syndrome?

Answer 27

test resisted knee flexion with ankle DF and hip flexion, then re-test in prone at a neutral hip angle and neutral foot. If positive on first part consider HS syndrome

Question 28

what is the hip lag sign and what does it assess for?

Answer 28

patient is sidelying, leg brought into 10 degrees ext, abducted 20 degrees, 45 degrees of knee flexion. Let go, if they can’t hold indicates issues with hip abductors

Question 29

what can cause sharp burning buttock pain?

Answer 29

entrapment of the pudendal nerve

Question 30

what is a possible cause of pudendal nerve entrapment?

Answer 30

too narrow saddle on a bike

Question 31

what is a possible source of deep, vague groin pain.

Answer 31

obturator nerve entrapment

Question 32

what is a pincer impingement typically secondary to?

Answer 32

femoral retroversion

Question 33

what motions will be painful in someone with an iliopsoas tendinopathy?

Answer 33

hip flexion and ER, will not have pain during hip adduction