Hip Exam, Eval, Interventions Flashcards

1
Q

which hip joint dysfunction is suspected in 2-8 yo?

A

AVN (Legg Perthes)

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2
Q

which hip joint dysfunction is suspected in 10-14 yo?

A

SCFE
OCD

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3
Q

which hip joint dysfunction is suspected in 14-25 yo?

A

stress fx
synovitis
FAI

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4
Q

which hip joint dysfunction is suspected in females 50+?

A

glute med tendinopathy or tear

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5
Q

how is the hip displaced in congenital hip dysplasia?

A

upward and lateral

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6
Q

appearance of limb with congenital hip dysplasia?

A

short, flexed, abducted

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7
Q

special tests for congenital hip dysplasia

A

Galeazzi’s sign
Ortolani’s sign

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8
Q

age for Legg-Calve-Perthes

A

2-13

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9
Q

appearance of Legg-Calve-Perthes

A

short limb
higher greater troch
quad atrophy
adductor spasm

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10
Q

age for SCFE

A

male 10-17
female 8-15

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11
Q

appearance of SCFE

A

short limb
usually obese
quad atrophy
adductor spasm
pain in extreme motion
hip abducted and ER

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12
Q

what is suspected: antalgic gait after activity (child)

A

Legg-Calve-Perthes

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13
Q

what is suspected: antalgic gait acutely, Trendelenburg sign and ER chronically

A

SCFE

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14
Q

which hip dysfunction is urgent and should immediately make the pt NWB?

A

SCFE

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15
Q

which hip dysfunction requires surgery?

A

SCFE

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16
Q

what is suspected:
30-50 yo
flattened femoral head

A

avascular necrosis

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17
Q

list Altman’s clinical criteria for hip OA

A

hip pain
IR <15 deg
pain in IR
morning stiffness up to 60 mins
age >50 yo

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18
Q

list Sutlive CPR for hip OA

A
  • self-reported squatting aggravates
  • Scour test with adduction causes groin or lateral hip pain
  • active hip flexion causes lateral pain
  • active hip extension causes hip pain
  • passive hip IR </= 25 deg
    3/5 = 68%; 4/5 = 91% probability
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19
Q

A evidence for hip OA CPR

A

risk factors
diagnosis/classification
outcome measure
activity limits & participation restrictions

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20
Q

B evidence for hip OA CPR

A

pathoanatomical features
patient education
manual therapy
flexibility, strength, endurance testing

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21
Q

C evidence for hip OA CPR

A

functional gait and balance training

22
Q

E evidence for hip OA CPR

A

differential diagnosis

23
Q

which tests rule out labral tears

A

Scour
FABER
Fitzgerald’s
FABIR

24
Q

which test rules out SIJ pain

A

SIJ provocation tests

25
which test rules out L2-3 radiculopathy
femoral nerve stretch
26
what should always be ruled out with muscle strains?
neural irritability
27
what is suspected: decreased ROM trauma hematoma
myositis ossificans (quads)
28
MOI for ITB syndrome
gradual, overuse
29
test for ITB syndrome
Ober's
30
which nerve is disturbed with meralgia paresthesia?
lateral femoral cutaneous nerve
31
if reaching down to tie shoes causes pain, ____ is most likely
OA
32
aggravating factors for glute med tendinopathy/tear
stairs, SLS, sleeping on side
33
cluster test for glute med tendinopathy/tear
FABER external de-rotation test adduction + external de-rotation test palpation of glute med stand on effected leg in SLS
34
glute med tendinopathy/tear must have pain that is _____ & ______
localized and load dependent!!
35
T/F: diffuse pain with low load indicate tendinosis
F!!!!
36
in which stages of recovery for glute med tendinopathy/tear is the pt NWB?
stage 1-2
37
acetabular labral pathologies are common in HIGHLY active people aged _____
20-40 yo
38
hip OA is highly correlated with _____
labral pathology
39
cam vs. pincer impingement
cam - femoral head/neck pincer - acetabular
40
femoral head ____version and coxa ____ are more susceptible to cam impingement
anteversion coxa vara
41
anterio-medial FAI is seen with what positions
flexion and IR passive
42
posterior FAI is seen with what positions
flexion, abduction, ER (fig. 4)
43
femoral neck fx will not be able to passively ___ hip
rotate
44
unique hip subjective questions
h/o LBP h/o hip probs as child or later in life h/o clicking, popping, catching OA related questions (24 hr. pain) surgical info
45
which motions does traction manips restore?
ALL
46
if a hip manip is being done in supine, this is open or closed pack?
open
47
dosage of ROM exercises
high reps (20s)
48
which comes first: mobility or stability?
mobility
49
is open or closed chain exercises easier?
open
50
common findings in young females that lead to FAI
general ligamentous laxity hypomobility in lateral & anterior capsule weakness in hip abductors, ER poor LE control in closed-chain
51
when is the highest risk for injury recurrence of hamstring strain?
1st 2 weeks
52
what type of athletes commonly get hamstring strains?
high-speed skilled movements required