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PCM > Hip Exam > Flashcards

Hip Exam Flashcards

1
Q

Peripheral Compartment Structures

A

Femoral neck

Synovial lining

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2
Q

Lateral Compartment Structures

A

Gluteus medius
Gluteus minimus
Iliotibial band
Trochanteric bursae: deep, superficial

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3
Q

Psoas Compartment Structures

A

Iliopsoas insertion

Iliopsoas bursae

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4
Q

Central Compartment: Signs and Symptoms

A

C-sign: labral pathology
Catching, locking
Pain: lumbar spine, groin/medial, pelvic rim (anterior to posterior, L5-S1) radicular pattern), in the a.m. or after a run
Instability

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5
Q

Central Compartment: Initial Insult

A

Trauma: traffic accident, collisions, bad falls
Twisting on a hip that has excess weight on it
Repetitive strain: golfers

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6
Q

Central Compartment: Pathology

A 
Labral tears
Ligamentum teres disruption
Osteochondral defects
Chondromalacia/osteoarthritis
Loose bodies
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7
Q

Central Compartment: Maneuvers

A 
Log Roll (pain)
Labral Loading (pain)
Labral distraction (relief of pain)
Scour (pain)
FABER (pain, apprehension)
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8
Q

Peripheral Compartment: Signs and Symptoms

A

Catching/locking
Pain with hip movement: deep hip, groin
Limited range of motion

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9
Q

Peripheral Compartment: Injury

A

Congenital

Post trauma: fall, MVA

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10
Q

Peripheral Compartment: Pathology

A

Loose bodies
Impingement syndrome: pincer type, CAM type
Synovitis

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11
Q

Peripheral Compartment: Maneuvers

A

Log Roll (pain)
Ely’s Test (ipsilateral hip flexion)
Rectus femoris test (knee flexion

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12
Q

Lateral Compartment: Signs and Symptoms

A

Weakness: difficulty with lifting leg to climb stairs
Pain: lateral hip, pelvic rim, radiating down leg to knee, knee pain
Instability

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13
Q

Lateral Compartment: Injury

A

Lifting
Trauma
Overuse

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14
Q

Lateral Compartment: Pathology

A

IT band syndrome
Bursitis
Rotator cuff tendonopathies: gluteus medius, gluteus minimus

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15
Q

Lateral Compartment: Maneuvers

A

Jump Sign (Bursitis) (withdrawal)
Straight Leg (ITB Syndrome) (lateral pain > 15 degrees)
Ober’s (ITB Syndrome (pain, inability to addict)
Piriformis Test (Rotator Cuff Pathology) (pain or weakness)
Trendelenburg (Rotator Cuff Pathology) (weakness of weight bearing side gluteus medius creates crest drop of lifted leg)
FABER (Rotator Cuff Pathology) (weakness)

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16
Q

Iliopsoas (Anterior) Compartment: Signs and Symptoms

A

Pain: anterior hip, medial groin, anterior deep thigh

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17
Q

Iliopsoas (Anterior) Compartment: Injury

A

Hyperextension: jumping, running

Overuse

18
Q

Iliopsoas (Anterior) Compartment: Pathology

A

Psoas tendonitis

Iliopsoas bursitis

19
Q

Iliopsoas (Anterior) Compartment: Maneuvers

A 
FABER (pain anterior, medial groin)
Psoas Test (pain anterior thigh)
Thomas Test (inability to extend hip)
20
Q

Compensatory Conditions

A

Snapping hip (internal or external)

  • internal: psoas “snaps” over femoral head
  • external: IT band “snaps” over trochanter

Somatic Dysfunction

  • lumbar
  • sacrum
  • pelvis
  • knee, foot/ankle

Compensation

  • sacroiliitis
  • facet syndrome
  • pelvic instability
  • piriformis syndrome (with sciatica)
  • psoas syndrome
  • hamstring syndrome
  • iliotibial band syndrome
  • trochanteric bursitis
21
Q

Somatic Dysfunction

A

IT Band restriction
Hip flexion/extension dysfunction
Hip ER/IR dysfunction
Hip ab/adduction dysfunction

22
Q

Observation/Palpation

A 
ASIS
Iliac crest
Greater trochanter
Pubic tubercles
PSIS
Ischial tuberosity
sacroiliac joint
Inguinal ligament
Femoral artery
Sartorius muscle
Adductor longus muscle
Sciatic nerve
Femoral triangle: inguinal ligament, medial border of adductor longus, medial border of sartorius
23
Q

Iliopsoas m.

24
Q

Sartorius m.

A

Flexor (abductor, external rotator)

25
Q

Rectus Femoris m.

26
Q

Adductor Longus m.

27
Q

Gluteus Medius m.

A

Abductor (external rotator)

28
Q

Gluteus Maximus m.

A

Extensor (abductor, external rotator)

29
Q

Hamstrings: Biceps Femoris m., Semitendinosus m. Semimembranosus m.

30
Q

Tensor Fascia Lata/IT Band

A

Flexor (abductor)

31
Q

ROM: Flexion

A

90 degrees w/ knee extended

120 - 135 degrees w/ knee flexed

32
Q

ROM: Extension

A

15-30 degrees

33
Q

ROM: Abduction

A

45-50 degrees

34
Q

ROM: Adduction

A

20-30 degrees

35
Q

ROM: Internal Rotation

A

30-40 degrees

36
Q

ROM: External Rotation

A

40-60 degrees

37
Q

Strength Testing: Flexion

A

Iliopsoas m.
Femoral n. (L2-4)
Ventral rami of lumbers (L1-2)

38
Q

Strength Testing: Extension

A

Gluteus Maximus m.

Inferior gluteal n. (L5, S1, S2)

39
Q

Strength Testing: Abduction

A

Gluteus medius m.
Gluteus minimus m.
Superior gluteal n. (L5, S1)

40
Q

Strength Testing: Adduction

A

Adductor longus m.

Obturator n. (L2-4)

41
Q

Sensation Testing

A

Dermatomes L1-3
Anterior femoral cutaneous n. L2-4
Lateral femoral cutaneous n. L2-3
Posterior femoral cutaneous n. S2

42
Q

Central Compartment Structures

A

Labrum
Ligamentum teres
Articular surfaces

PCM (26 decks)

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