Hip Conditions Flashcards
Avascular Necrosis, Hip ROM is decreased in:
Flexion, IR and Abduction
Gait pattern with Avascular Necrosis (name and describe)
Coxalgic Gait
Lurch towards affected side with contralateral hip drop
What type of meds are contraindicated for avascular necrosis?
Corticosteroids
What is Legg-Calve Perthes Disease
Osteochondrosis of femoral head
Age of onset of Legg-Calve-Perthes
Between 2-13 (avg 6)
Male: Female of Legg-Calve
4:1
What gait pattern with Legg-Calve-Perthes? Name and describe
Psoatic Limp
Affected LE moves in ER, Flexion and Adduction
What muscle is affected with legg-calve perthes disease?
Psoas Major
Is pain with Legg Calves sharp or aching?
Aching
What sign is seen on MRI for Legg-Calves Perthes
Bony Crescent
Most common hip disorder in teens
Slipped Capital Femoral Epiphysis
Male:Female of slipped capital epiphysis
2:1
Is Passive or AROM affected with slipped capital femoral Epiphysis? In what direction?
AROM in Abd, Flexion and IR
Gait pattern seen with Slipped Capital Femoral?
Trandelenburg
Excessive femoral ANTEVERSION leads to toeing ___
In
Coxa Vara ____ degrees
> 115
Coga Valga _____ degrees
> 125
What type of patient often has trochanteric bursitis?
RA
2 tests for ITB
Noble Compression
Ober
What gait pattern can cause piriformis syndrome
Excessive pronation of foot causing abnormal femoral IR
What compresses with piriformis sndrome?
Sciatic Nerve
What motion is painful with Piriformis syndrome?
IR
What motion is weak with Piriformis syndrome?
ER
Piriformis syndrome has pain referred to:
Posterior Thigh
Education needed for Piriformis Syndrome
Orthoses to prevent excessive foot pronation
Protection of SI joint
Differential Diagnosis of Piriformis Syndrome
Lumbar spine and SI Joint
