Hip COPY Flashcards

1
Q

FAI: CAM

A

Morphological abnormality of superior-anterior aspect of the femoral head neck

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2
Q

FAI: Pincer

A

Excessive bone growth of the superior anterior aspect of the acetabulum

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3
Q

FAI: Demographics

A
  • 20-40 years old
  • male
  • groin pain w/ hip rotation, in sitting position or after sports
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4
Q

FAI: Clinical Exam

A
  • loss of hip IR
  • limited flexion
  • grinding/popping w/ hip ER
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5
Q

Labral tear:

  • most common MOI?
  • most common location?
A
  • MOI: rotation in weightbearing

- location: anterior

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6
Q

4 types of labral tears:

A
  • radial flap
  • longitudinal peripheral
  • radial fibrillated
  • abnormally mobile
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7
Q

What is the most valid test for dx of a stress fracture?

A
  • fulcrum test
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8
Q

Snapping Hip Syndrome:

  • AKA:
  • Sx:
  • External vs Internal:
A

AKA: Coxa Saltans

  • Sx:
    • snapping sensation in and around hip when it is in motion
  • External vs Internal:
    • external (most common) IT band; snapping over the greater trochanter
    • internal: iliopsas tendon snapping over the bony prominence of the pelvis (Femoral triangle, lesser trochanter)
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9
Q

Most common injury to the lateral knee?

A

IT band syndrome

- inserts on gerdy’s tubercle & proximal aspect of the fibular head

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10
Q

Sports hernia:
AKA:
Treatment:

A

AKA: Athletic Pubalgia

Chronic, conservative management doesn’t work

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11
Q

Define femoral anteversion

- Test?

A

Anything greater than 15 degrees

Craigs Test: measures femoral antversion and retroversion

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12
Q

What are possible compensations of femoral anteversion?

A
  • external tibial rotation
  • lateral rotation at the knee
  • lumbar rotation to the same side
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13
Q

What is an indicator that a hamstring injury will take longer to rehabilitate?

A

Injury to the proximal free tendon

- ie. Semimembranous during kicking or dancing

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14
Q

What is an indicator that a hamstring injury will take LESS time to rehabilitate?

A

Injury to intramuscular tendon or aponeurosis

- ie. Biceps femoris during high speed running

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15
Q

What are the borders of the femoral triangle?

A

Superiorly: inguinal ligament
Medially: medial border of adductor longus
Laterally: medial border of sartorius
Floor: Adductor longus, Pectinus, and iliopsas

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16
Q

What is a precipitating factor in adductor strains?

A

Adductor strength

17
Q

When do you initiate eccentric hamstring activation in hamstring strain rehab?

A

Phase II

18
Q

What is the normal angle of inclination?

A

125-130 degrees

19
Q

What does the center edge angle measure?

A

Normal seating of the femoral head (normal = 20-25 deg)

Less than 20 deg = acetabular dysplasia

20
Q

Pincer FAI on XRay: what sign would you see?

A

Cross over sign

21
Q

CAM FAI on XRay: what would you see?

A

pistol grip deformity on femoral neck

22
Q

Frontal plane pelvo-femoral stability is mediated by what muscle groups?

A

Gluteus medius
tensor fascia latae
adductor complex
quadratus lumborum

23
Q

What is the most significant risk factor for SCFE?

A

Obesity

24
Q

What mechanical version will you see in a patient w/ SCFE?

A

Femoral or acetabular retroversion

25
Q

How should a SCFE be managed? Stable or Unstable

A

ORIF