hip and pelvis

Question 1

lateral pelvic tilt is on what plane what side moves what direction?

Answer 1

frontal plane: lateral side moves upwards

Question 2

left transverse pelvic tilt indicates what direction of movement?

Answer 2

left side moves posterior

Question 3

what plane is the angle of inclination of the femur?

what are the angles of it at birth vs adult

Answer 3

frontal plane.

infant: 150 deg
adult: 125 deg

Question 4

decrease in angle of inclination so distal femur towards midline and knee closer together

Answer 4

coxa vara; genu valgum

Question 5

purpose of normal of inclination

Answer 5

it puts abductors at its optimal position in hip to give max muscle strength bc it should be as far latreally from hip as possible to achieve muscle stability

Question 6

what plane is angle of declination of femur formed by what axis?

Answer 6

transverse plane change of femur formed by axis of neck of the femur and transcondylar axis of the knee

Question 7

increase in angle of inclination so distal femur is directed away from midline and knees further apart

Answer 7

coxa valga; genu varum

Question 8

what are the external hip rotators? what is their other function?

Answer 8

they are ADDUCTORS too

Gleuteus maxmius 
obdurators 
adductors 
gemelli
sartorius 
quadratus femoris 
piriformis

Question 9

what are the internal hip rotators and are also what function?

Answer 9

gluteus medius and minimus, also hip abductors

Question 10

what does anteversion mean

Answer 10

normal internal rotation

Question 11

what forms the the neutral postiion of the hip

Answer 11

angle of declination of femur–>external rotation

soft tissue attached to HIP–>internal rotation

Question 12

how do you calculate NFP? what does it help determine?

Answer 12

[EHR + IHR/2]-EHR

helps determine if abnormal toeing is due to femur itself or soft tissue contracture

Question 13

if pt comes with abnormal NFP, but have tehe SAME NFP with hip flexed vs extended, wherre is the prob?

Answer 13

prob is at the femur twisting

Question 14

if NFP is different with hip flexed vs extended, what is it due to?

Answer 14

soft tissue contracture, in the hip

Question 15

for infants/1 yr/adult, what are the degrees of external to internal?

Answer 15

infants: 69-90 external, 30 deg internal

1 yr: 50-60 external; 30 internal

4+ yrs: 45/45

Question 16

if the hip and knee are flexed what ligament/muscles are tightened? what motion does this limit?

Answer 16

ischiofemoral; abductors (gluteus min/med)

limits internal rotation or promotes external rotation

Question 17

if hips extended and knee flexed , what ligaments and muscles does it tighten? what motion does it limit?

Answer 17

tightens iliofemoral, pubocapsular and ligamentum teres

ADDUCTORS

limits/decrease external rotation or promote internal rotation

Question 18

what can tight hamstrings influence? what is it composed of?

Answer 18

external/internal leg rotation , patellar tracking in the knee

Medial and lateral components

Question 19

what happens when there is a tight medial vs lateral hamstring?

Answer 19

in toe gait/patella that track medially (internal rotation)

lateral” out-toe gait/lateral tracking patella (lateral rotation_

Question 20

when child comes in with into/out toe. what do you check first? then what?

Answer 20

1st check HIP (NFP to see if its soft tissue or bone) –>then check hamstrings, promote internal or external rotation

Question 21

what is considered neutral position of adult hip

Answer 21

the position in which hip is neither externally rotated nor internally rotated:

so it is the position of same amt of external rotation as internal rotation

Question 22

what does femoral anteversion in uterine position allow?

Answer 22

max rotation of hip in flexed position

Question 23

where is the angle of inclination created from?

Answer 23

adducted position of femur

Question 24

with NFP that is internal vs external represents what?

Answer 24

NFP internal: foot points inward

NFP external: foot points outward

Question 25

if you have tight ischiofemoral, how will this affect motion

Answer 25

increase amt of of external rotation, decrease ROM internallly