Hip and Knee Flashcards
Observation/Palpation - Hip
ASIS Iliac Crest Greater Trochanter Pubic tubercles PSIS Ischial Tuberosity Sacroiliac Joint Inguinal ligament Femoral artery Sartorius m ADductor Longus m. Sciatic n. Femoral triangle - inguinal lig, ADductor longus, Sartorius
Flexors of hip
iliopsoas
sartorius
rectus femoris
tensor fascia lata
AD of hip
ADductor longus
AB of hip
Gluteus medius
tensor fascia lata
Extensor of hip
gluteus maximus
hamstrings
Strength Testing - Iliopsoas
Femoral n. L1-2
Strength Testing - Gluteus maximus
Inferior Gluteal n. L5 S1-2
Strength Testing - Gluteus medius
Superior Gluteal n. L5-S1
Strength Testing - Adduction
Obturator n. L2-4
Central Hip Compartment
labrum, ligamentum teres, articular surfaces
Peripheral Hip Compartment
femoral neck, synovial lining
Lateral Hip Compartment
gluteus medius, gluteus minimus, IT band, trochanteric bursae
Anterior Hip Compartment
iliopsoas insertion, iliopsoas bursae
Observation/Palpation - Knee
Medial tibial plateau Medial femoral condyle Adductor tubercle Lateral tibial plateau lateral femoral condyle head of fibula common fibular n. quads (infra)patellar tendon patella prepatellar bursa medial meniscus MCL region lateral meniscus LCL Sartorius, gracilis, semitendinosus tendons Popliteal fossa Popiteal artery
Genu Valgum
knock knees
Genu Varus
bow legs
Genu Recurvatum
hyperextension
Q Angle
normal - 15
females have increased Q angle
Strength Testing - Quads
Femoral n. L2-4
Strength Testing - Hamstrings
Sciatic n. L5-S1
Strength Testing Grading
+0/5 no contraction detected
+1/5 barely detectable flicker/trace of contraction
+2/5 active movement with gravity eliminated
+3/5 active movement agains gravity
+4/5 active movement agains gravity and some resistance
+5/5 active movement agains gravity and resistance without signs of fatigue
