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MSK LQ > Hip Exam, Eval, Interventions > Flashcards

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
Q

which test rules out L2-3 radiculopathy

A

femoral nerve stretch

26
Q

what should always be ruled out with muscle strains?

A

neural irritability

27
Q

what is suspected:
decreased ROM
trauma
hematoma

A

myositis ossificans (quads)

28
Q

MOI for ITB syndrome

A

gradual, overuse

29
Q

test for ITB syndrome

A

Ober’s

30
Q

which nerve is disturbed with meralgia paresthesia?

A

lateral femoral cutaneous nerve

31
Q

if reaching down to tie shoes causes pain, ____ is most likely

A

OA

32
Q

aggravating factors for glute med tendinopathy/tear

A

stairs, SLS, sleeping on side

33
Q

cluster test for glute med tendinopathy/tear

A

FABER
external de-rotation test
adduction + external de-rotation test
palpation of glute med
stand on effected leg in SLS

34
Q

glute med tendinopathy/tear must have pain that is _____ & ______

A

localized and load dependent!!

35
Q

T/F: diffuse pain with low load indicate tendinosis

A

F!!!!

36
Q

in which stages of recovery for glute med tendinopathy/tear is the pt NWB?

A

stage 1-2

37
Q

acetabular labral pathologies are common in HIGHLY active people aged _____

A

20-40 yo

38
Q

hip OA is highly correlated with _____

A

labral pathology

39
Q

cam vs. pincer impingement

A

cam - femoral head/neck
pincer - acetabular

40
Q

femoral head ____version and coxa ____ are more susceptible to cam impingement

A

anteversion
coxa vara

41
Q

anterio-medial FAI is seen with what positions

A

flexion and IR passive

42
Q

posterior FAI is seen with what positions

A

flexion, abduction, ER (fig. 4)

43
Q

femoral neck fx will not be able to passively ___ hip

A

rotate

44
Q

unique hip subjective questions

A

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
Q

which motions does traction manips restore?

A

ALL

46
Q

if a hip manip is being done in supine, this is open or closed pack?

A

open

47
Q

dosage of ROM exercises

A

high reps (20s)

48
Q

which comes first: mobility or stability?

A

mobility

49
Q

is open or closed chain exercises easier?

A

open

50
Q

common findings in young females that lead to FAI

A

general ligamentous laxity
hypomobility in lateral & anterior capsule
weakness in hip abductors, ER
poor LE control in closed-chain

51
Q

when is the highest risk for injury recurrence of hamstring strain?

A

1st 2 weeks

52
Q

what type of athletes commonly get hamstring strains?

A

high-speed skilled movements required

MSK LQ (18 decks)

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