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Rachel Flash cards > Hip and Pelvis MSK > Flashcards

Hip and Pelvis MSK Flashcards

1
Q

iliofemoral ligament limits what

A

strongest lig in body, limits external rotation (with hip in flexion), extension and abduction

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2
Q

femoral neck fx Garden staging

A

stage 1: incomplete fx line, non displaced
stage 2: complete fx line, non displaced
stage 3: complete fx line and partially displaced
stage 4: complete and fully displaced (capsule completely torn)

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3
Q

Most common hip fx

A

intertrochanteric hip fx, extracapsular

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4
Q

compression side fx

A

more common and satble along inferior femoral neck, can be rehabbed, NWB and gradually increase activity

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5
Q

Tension side fx

A

less stable, NEED SURGERY

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6
Q

Grade 2 SCFE

A

33-50%

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7
Q

Risk fx for SCFE

A

GH deficiency, thyroid disease, clasically in obese males

femoral head is displaced posteriorly and inferiorly.

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8
Q

knuckle of bone coming off of femoral head

A

CAM lesion

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9
Q

acetabulum extends too far and pincers the femoral head / neck on ROM

A

Pincer lesion

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10
Q

Femoroacetabular impingement

A

Pincer and CAM lesions, labral tears occur due to this

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11
Q

iliopsoas bursitis and tendonitis

A

active flexion against resistance recreates pain

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12
Q

internal snapping hip syndrome

A

iliopsoas tendon snapping over iliopectineal eminence

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13
Q

external snapping hip

A

TFL snapping over greater trochanter, lateral thigh pain, log roll hip and you can sense their lateral thigh snapping

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14
Q

greater trochanteric bursitis AKA

A

subluteus maximus bursitis

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15
Q

hip flexor strain/iliopsoas strain

A

attempting to flex hip while it is being forcefully extended (soccer, kicking)

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16
Q

Hamstring strain

A

proximal hams, due to eccentric stretching of the muscle against a stronger hip flexion and knee extension forces ; classic example water skiing, posterior thigh bruising, need to r/o ischial tuberosity avulsion fracture

The myotendinous junction is the most common area of hamstring injury.

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17
Q

adductor strain

A

eccentric injury (trying to adduct thigh) while it is being (most commonly adductor longus)

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18
Q

piriformis syndrome on physical exam

A

pain & numbness/ tingling down the leg with FAIR testing…. . Piriformis syndrome would cause lateral buttock pain closer towards the greater trochanter.

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19
Q

myositis ossificans

A

HO in an area of muscle usually due to trauma and hematoma formation, hematoma breaks donwn and leads to HO fobone formation , usually the quads of young, active males, usually self limiting, palpable mass in muscle, tx with ROM PT, surgery 10-12 months of maturity if still symptomatic

20
Q

Pubofemoral ligament limits what

A

The pubofemoral ligament limits excessive abduction and extension of the hip.

21
Q

Ischiofemoral (posterior aspect) limits what

A

limits internal rotation

22
Q

ligament capitus femurus

A

extends from acetabulum into the femoral head and carries a BLOOD SUPPLY to that area

23
Q

Hip flexors (3)

A

iliopsoas, rectus femoris, sartorius

24
Q

iliopsoas insertion

A

lesser troch (Femur)

25
Q

sartorius insertion and function

A

pes anserine bursa on tibia

functions to flex the knee and flexes and laterally rotates the hip

26
Q

rectus femoris insertion

A

patella (quad tendon formation)

27
Q

Hip extensors (4)

A

glut med, semimembranosis, semitendinosus, bivceps femoris, and obviously glut max

28
Q

hip abductors

A

glut medius, glut minimus, tensor fascia lata

29
Q

glut med and min insertion

A

anterior facet greater trochanter….abducts and MEDIALLY rotates the hip

30
Q

Hip adductors

A

adductor longus, magnus, brevis, gracilis, pectineus (only one that is femoral nerve innervation)

31
Q

hip internal rotators

A

TFL, medial hamstrings (semimem/tend), adductor longus, glut med

32
Q

hip external rotators

A

piriformis, GOGO muscles (superior gemellus, obturator internus, inferior gemellus, obturator externus), quad femoris (GOGO hands with piriformis and quad femoris)

The obturator externus and quadratus femoris are the two hip external rotators that can assist in hip adduction.

33
Q

Cane

A

use it on the good sided hip, advance the cane at the same time you advance the arthritis hip

34
Q

ASIS (anterior sartorial iliac spine)

A

sartortius comes off of ASIS , avulsion fx of asis if sartorial tear

35
Q

AIIS, what comes off of it

A

Rectus femoris (joints quads in thigh/knee)

36
Q

How to diagnose leg length discrepancy

A

CT scanogram

37
Q

Posterior hip precautions

A

avoid flexion past 90, adduction past midline, internal rotation

38
Q

Femoral neck fx (intracapuslar) Garden staging

A

Stage 1: incomplete fx line, nondisplaced
Stage 2: complete fx line (all the way across the bone, nondisplaced
Stage 3: Complete and partially displaced
Stage 4: complete and fully displaced (capsule completely torn)

39
Q

Most common hip fx

A

intertrochanteric hip fx (extracapsular)

40
Q

TFL function and innervation

A

Hip internal rotator and abductor…superior gluteal nerve

41
Q

AIIS avulsion fx treatment

A

RIce, rectus femoris attachment, can be caused by forceful hip flexion during eccentric portion of movement

42
Q

Glut max attaches to

A

TFL

43
Q

IT band friction syndrome causes

A

are sudden change in training intensity, poor shoe support, tight IT band, weak hip abdductors, disparity between quadricep and hamstring strength, and excessive foot pronation.

44
Q

Grailis function

A

Flexes the knee, adducts the thigh, and helps to medially rotate the tibia on the femur

45
Q

Lumbosacral plexus formed from

A

composed of ventral rami from T12-S3 and is found on the anterior surface of the quadratus lumborum and lies posterior to the psoas muscle

46
Q

originates at the ischial spine, inserts onto the greater trochanter and abducts the flexed hip?

A

superior gamellus

47
Q

+ fulcrum test

A

femoral stress fracture

Rachel Flash cards (24 decks)

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