Hip Disorders Flashcards

1
Q

What part of the hamstrings is most commonly injured

A

Lateral hamstrings at the myotendinous junction

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2
Q

3 grades of hamstring injuries

A

Grade 1 = strain
Grade 2 = partial tear
Grade 3 = complete tear

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3
Q

What motion usually causes hamstring injuries

A

During knee extension, eccentric phase of muscle contraction

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4
Q

Provocative test for hamstring injuries

A

Knee flexion with patient prone causes paint at the ischial region

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5
Q

Mechanism of injury that causes hip flexor strain

A

Eccentric overload of psoas OR trying to suddenly flex a fully extended hip

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6
Q

Is piriformis an external or internal hip rotator

A

External rotator

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7
Q

Provocative test for piriformis syndrome

A

FAIR test

Flex, Adduct, Internally Rotate

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8
Q

Mechanism of injury that causes piriformis syndrome

A

Forced internal rotation

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9
Q

What are the 6 main causes of snapping hip syndrome?

A
External causes:
1. Tight IT band over greater trochanter
2. Tight gluteus maximus over greater trochanter.
3. Trochanteric bursitis
Internal causes:
4. Tight iliopsas/tendonitis over iliopectineal eminence
5. Acetabular labral tear
6. Loose bodies in hip joint
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10
Q

If iliopsoas tendonitis is cause of snapping hip, what motion will cause snapping?

A

Hip flexion

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11
Q

If snapping hip is due to an external cause, where will you have tenderness?

A

Over IT band or gluteus maximus

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12
Q

If snapping hip is due to an internal cause, where will you have tenderness?

A

Anterior groin

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13
Q

If patient has external cause of snapping hip syndrome, what provocative test do you want to do?

A

Internally and externally rotate the hip passively while patient is on side

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14
Q

action of gluteus maximus

A

Hip adduction
Hip extension
Hip external rotation

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15
Q

Action of TFL

A

Hip flexion
Hip abduction
Hip internal rotation

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16
Q

Mechanism that causes adductor (groin) strain

A

Forced abduction, occurs during eccentric contraction

17
Q

What 3 muscles is trochanteric bursa deep to?

A

Gluteus medius, gluteus minimus, TFL

18
Q

What provocative motion do you do to test for trochanteric bursitis?

A

Move hip from flu extension to flexion to provoke pain

19
Q

What muscles do you want to strengthen in trochanteric bursitis

A

Hip abductor muscles