Hip Examination Flashcards
1
Q
what should you look for when the patent is standing in a hip examination
A
- presence of walking aids
- assess from anterior, posterior and lateral
- gluteal and quads bulk
- compensatory leaning
- alignment of hip and knee
- swelling
2
Q
what do you look for in a gait in a hip examination
A
Antalgic gait
trendenleberg gait
leg swinging
3
Q
what do you look fro in lying in a hip examination s
A
- scars
- swelling
- gluteal and quads bulk
- fixed flexion
- external rotation by looking at the foot
- leg length - measure from ASIS or umbilicus to a fixed bony point
4
Q
What pathology is associated with the external rotation and shortening
A
- fractured neck of femur
- due to the psoas muscle and its direction of action being altered from the fracture
5
Q
what muscles are affected with a positive trendelenburg sign
A
- hip abducts
- gluteus medius and minimus
6
Q
what can cause a positive tredndelenburg gait
A
- superior gluteal nerve injury
- post total hip replacement
- L5 lesion
- other rarer causes
7
Q
What muscles are responsible for
- flexion
- extension
- abduction
- adduction
- medial rotation
- lateral rotation
A
- flexion
lilacs
Psoas major - extension
gluteus maximus
adductor Magnus
biceps femoris
- abduction gluteus medius gluteus minimus obturator externes gemelli saritorius
- adduction adductor brevis adductor Magnus adductor longs pectinous gracilis
- medial rotation gluteus medius gluteus minimus tensor facsica lata adductor brevis adduct longus
- lateral rotation piriformis gemelli obturator interns quadrates femoris
