Hip Assessment Flashcards
Resting position of the hip?
30 flex
30 abd
20 L rot
Lesion of the hip joint is usually immediately perceptible during walking. T or F
True
close packed position of the hip
extension, medial rotation, abduction
normal degree of anteversion torsion on the femur
15 deg
increased anteversion leads to toeing _____
In
increased retroversion leads to toeing _____
out
normal angel of inclination of femoral neck
125 deg
angle of femur inclination <125 deg
Coxa vara
angle of femur inclination > 125 deg
coxa valga
Coxa vara/valga: decreased leg length, poor abductor length-tension
coxa vara
coxa vara/valga: hip in adduction, increased leg length, higher pelvis
coxa valga
3 ligaments of acetabulum/hip joint
iliofemoral
ischiofemoral
pubofemoral
called the Y ligaments, considered the strongest ligament in the body
iliofemoral
all three hip ligaments limit ______ rotation
medial
Forces on the hip x BW: Standing one limb stance walking up stairs running
Standing 0.3 BW
one limb stance 2.5 BW
walking up stairs 3 BW
running 4.5 BW
external snapping hip involves….
posterior IT band
internal snapping hip involves….
iliopsoas tendon
intra-articular snapping involves….
labrum or ligamentum teres
A disease that disrupts the replacement of old bone tissue with new bone tissue.
Paget’s disease
If the hip is affected, the weight is lowered carefully on the affected side and the ______ bends slightly to absorb the shock.
knee
The length of the step on the _________ side is shorter so that weight can be taken off the leg quickly.
unaffected
normally, feet angle out ___-____ degrees for better balance (Fick angle)
5-10 degrees
During hip movement, if the pelvic force-couples are normal, the pelvis and anterior superior iliac spine (ASIS)/posterior superior iliac spine (PSIS) will not move. If they do, it may be an indication of _____________.
muscle imbalance
normal hip flexion ROM
120 deg
normal hip ext rom
30 deg
normal hip abduction ROM
45
normal hip adduction rom
30 deg
normal hip IR + ER ROM
45
during a straight leg raise, weak or reduced activation of the rectus abdominis will result in…
anterior pelvic tilt / increased lumbar lordosis
Anterior Impingement of the femoral neck against the acetabular rim
Femoroacetabular Impingement (FAI)
avascular necrosis of the femoral head
legg clave perthes disease
two types of FAI (Femoroacetabular impingement)
Pincer type
Cam type
the normal end-feel of all hip motions
tissue stretch / firm
Clinical Prediction Rule for Hip Osteoarthritis (4 out of 5 variables must be positive)
limited active flexion with lateral pain active extension causes pain limited PROM medial Rot < 25 deg squatting painful scour test with adduction causes pain
usually the first thing limited/painful with hip problems
medial rotation
Two types of leg length discrepency?
True shortening
Functional Shortening
TUG - If the patient takes more than __ seconds to complete the task, the test is considered positive as a predictor for falls within 6 months of a hip fracture surgery.
24 seconds
Sciatic nerve roots
L4-S3
most commonly injured nerve in the hip region
Sciatic nerve (L4-S3)
Roots of superior gluteal nerve
L4-S1
Femoral nerve roots
L2-L4
obturator nerve roots
L2-L4
Pistol grip deformity is a form of _____ type FAI
cam type
normal neutral position of the pelvis location of ASIS + PSIS
ASIS slightly lower than PSIS
slight ant. tilt
