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CATA 437 midterm > Hip Assessment > Flashcards

Hip Assessment Flashcards

1
Q

Sacrum is always opposite to

A

L/S

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2
Q

Normal position of pelvis and L/S

A

Anterior tilt
slight extension

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3
Q

Hip pain is most common in the population

A

over 60 years

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4
Q

Why is it challenging to give a differential diagnosis

A

can be pelvis, SIJ, L/S, referred pain

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5
Q

most common hip conditions in young and middle aged active adults

A

Femoral acetabular impingement
Acetabular dysplasia
hip instability
labral/chondral or ligamentous teres tears

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6
Q

what is an overlooked cause of hip pain

A

myofascial pain

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7
Q

most common hip pathology

A

musculotendinous groin and hamstring injuries

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8
Q

extra articular hip pathologies(4)

A

snapping hip
muscle injuries
stress fractures
ITB restriction

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9
Q

Snapping hip

A

external: IT over greater trochanter
Internal: Iliopsoas over pelvic rim
Intra-articular: symptoms of other pathologies

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10
Q

Intra articular hip injuries

A

Femoral acetabular impingement
Acetabular labral tear
chondral injuries
Synovitis

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11
Q

Intra articular patho radiate where

A

anterior and medial hip due to structures being innervated by femoral and obturator nerve

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12
Q

Posterior hip pain

A

under recognized manifestation of fermoroacetabular joint disease

referral to L/S and SIJ

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13
Q

Lateral hip pain

A

tendinosis of glute medius and minimus, thickening of IT band, trochanteric bursitis

Labral tear may refer laterally

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14
Q

Anterior hip pain

A

C-sign anterior medial thigh
OA primary consideration with older individual
labral tears
FAI, iliopsoas impingement, internal snapping hip, stress fx

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15
Q

limited ROM with OA

A

All but more hip flexion and internal rot.

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16
Q

Physical examination to diagnosis

A

30%

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17
Q

Pediatric patients condition and age

A

Legg-Calves-Perthes disease (3-11)
Slipped femoral epiphysis (12-15)
Labral tear (adolescents-adults)
OA and osteoporotic fx (older adults)

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18
Q

When and why should a patient be screened for infections and cancer

A

hip close to reproductive system and GI tract
in cases of systemic symptoms

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19
Q

alarming symptoms

A

fever
malaise
night sweats
weight loss
history of drug abuse
past or present cancer
being immunocompromised

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20
Q

lumbar pathology pain regions

A

Back
Buttock
hip
thigh
leg
foot

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21
Q

SIJ pathology pain regions

A

Buttock
Thigh
Groin
Back
Knee

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22
Q

Hip pathology pain regions

A

Groin
Buttock
Thigh
Knee

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23
Q

Active trigger point

A

constantly sending pain signal to referred area

24
Q

latent trigger point

A

pushing on it creates pain

25
Q

common trigger points

A

refers to posterolateral and anterolateral hip
refers to the anteromedial and thigh

26
Q

Osteoarthritis

A

older individuals
limited motion
gradual onset
constant, deep, aching,and stiffness
worse with prolonged standing and weight bearing
decrease ROM, extreme ROM cause pain

27
Q

FAI

A

young and physically active
insidious onset
worse with sitting, rising from seat
location in groin primarily

28
Q

Hip labral tear

A

dull sharp groin pain
may radiate to lateral hip, anterior thigh and butt
insidious but could be traumatic
catching painful click

29
Q

Iliopsoas bursitis

A

anterior hip pain when extending from a flexed position
intermittent catching snapping popping

30
Q

Stress fx

A

trauma or repetitive WB
worse with activity
pain in extreme ROM, SLR, log roll test or hopping

31
Q

piriformis syndrome and ischiofemoral impingement

A

pain in butt
worse with sitting and walking
ipsilateral radiation down post. thigh
increased with ER of hip

32
Q

greater trochanteric pain syndrome

A

atraumatic
IT band thickening, bursitis, tears of tendinopathies of glute muscles
morning stiffness
unable to sleep on affected side

33
Q

Lumbar spine pathology

A

low back pain
neurological deficits
pain with prolonged sitting or standing
pain with sneezing
releived with rest

34
Q

SIJ pathology

A

precise SIJ pain
no neurological deficit
pain with transitional movements
pregnancy related s/s
movement alleviates

35
Q

Hip joint pathology

A

groin or thigh pain
no neurological deficits
increased pain with loading or night pain
hip stiffness or catching

36
Q

Piriformis neutral

A

external rotation and abduction

37
Q

Piriformis in hip flexion past 60 degrees

A

internal rotation and abduction

38
Q

clinical prediction rule for OA

A
  1. limited active hip flexion with lateral pain
  2. active hip extension causes pain
  3. limited passive hip medial rotation
  4. squatting limited and painful
  5. scour test with adduction causes lateral hip or groin pain
    4 must be positive
39
Q

Flex test

A

mod thom
ober’s
ely’s

40
Q

hip provocation test(6)

A

FABER
FADDIR
scour
stinchfield maneuver
internal rotation over pressure
log roll test

41
Q

what can a negative FADDIR do

A

rule out presence of hip related pain

42
Q

posterior pain with FABER

A

SIJ may be responsible

43
Q

Scour- greatest strain on labrum in what ROM

A

flex and add

44
Q

Stinchfield test

A

resisted hip flexion
helps distinguish intra and extra articular hip patho
active 1st and resisted after
not great test

45
Q

log roll test

A

stresses intra articular tissue
passive
looks at hip mobility

46
Q

what tests are good to rule out intra articular hip pathology(3)

A

FABER
hip scour
Stinchfield
combination of 3

47
Q

what test is good to rule in intra articular hip pathology

A

thomas test

48
Q

4 tests for gluteal tendinopathies

A

trendelenburg
RROM ABD
RROM IR
hip external de-rotation test

49
Q

leg length discrepancies associated with

A

compensatory gait abnormalities and may lead to degenerative arthritis in LE and L/S

50
Q

anteversion and retroversion

A

angle made by femoral neck and femoral condylles

51
Q

normal angle

A

8-15

52
Q

anteversion increases risk of

A

dislocation

53
Q

retroversion increases

A

stability

54
Q

what test measures angle of anteversion

A

craigs

55
Q
A

CATA 437 midterm (5 decks)

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