Hip and pelvis

Question 1

Clinical Complications of hip fx

Answer 1

Malunion, Delayed union, Nonunion avascular necrosis

Question 2

Treatment options for hip fx

Answer 2

Bed rest and protected weight bearing with

limited exercise at 3 to 4 weeks

Question 3

Hip dislocation treatment option

Answer 3

➢ Treated conservatively with bed rest, traction,

protected limited weight bearing for up to 12 weeks

Question 4

Fractures of the
Pelvis and Acetabulum
conservative treatment

Answer 4

extended and externally
rotated to avoid stress on the healing bones,
protected weight bearing at 6 weeks

Question 5

Treatment for a fx after the bone is healed

Answer 5

progressive flexibility and

strengthening

Question 6

Acetabulum Fx Max protection

Answer 6

1 to 21 days: protect fracture site, reduce pain and
swelling, isometric exercises, gentle protected range
of motion (ROM), limited weight bearing (Fig. 19-5)
➢ Progressive exercises during first 3 weeks

Question 7

Acetabulum fx moderate protection phase

Answer 7

3 to 6 weeks: weight bearing depends on bone
healing; improve quadricep and hamstring strength;
TheraBand, ankle weights, cable system

Question 8

Acetabulum fx RTF

Answer 8

➢ (6 to 8 weeks): normalized gait mechanics and

reduced use of assistive devices

Question 9

Common complications of THR

Answer 9

➢ Loosening
➢ Dislocation
➢ Infection

Question 10

when does moderate protection phase begin c THR

Answer 10

Begins when patient can demonstrate quadriceps
control, active knee flexion, reduced pain, and
compliance with all precautions

Question 11

Femoral head becomes flattened at the weight-bearing

surface, disrupts blood supply

Answer 11

Legg-Calvé-Perthes Disease

Question 12

 Chronic pain in the region of the pubic tubercle
and inguinal region
 Typically results from athletic activity

Answer 12

Pubalgia

Question 13

Greater trochanter of the femur commonly affected

Answer 13

Bursitis

Question 14

rritated and inflamed from excessive

compression and repeated friction

Answer 14

Bursitis

Question 15

Focus on flexibility and strengthening and stretching

Answer 15

Bursitis

Question 16

local tenderness
over the iliopsoas muscle and
tendon or diffuse radiating pain
into the anterior thigh
➢ Pain noted in hip flexion and adduction

Answer 16

Iliopectineal:

Question 17

\Pain over the ischial tuberosity
➢ Caused by direct contusion or extended
periods of sitting
➢ Can mimic a hamstring strain

Answer 17

 Ischial bursitis (Weaver’s bottom)

Question 18

Anterior Mobilization

Answer 18

Hip Extension, Hip ER

Question 19

Posterior Mobilization

Answer 19

Hip Flexion, Hip IR

Question 20

Inferior Mobilization

Answer 20

Hip Abduction

Question 21

Signs of overmobilization

Answer 21

➢ Increase in pain
➢ Increase in swelling
➢ Decrease in mobility

Question 22

Thomas test Hip flexor restrictions:

Answer 22

pt

unable to fully extend hip

Question 23

Thomas test Rectus restriction:

Answer 23

knee unable

to bend 90 deg

Question 24

Ober test Interpretation: i

Answer 24

Interpretation: inability to adduct hip at least to

floor indicates restrictions of ITB

Question 25

Ely test

Answer 25

Rectus femoris
restriction: test hip will
raise up, lifting the
buttock off the table