Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCM1 Final Exam > Hip Pain/Exam > Flashcards

Hip Pain/Exam Flashcards

1
Q

What can you palpate on the hip?

A

Iliac crest at L4, ASIS, greater trochanter, pubic tubercle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Trochanteric Bursitis

A

Presentation: lateral hip pain, especially when laying on affected side; localized tenderness over greater trochanter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Osteonecrosis of hip

A

decreased blood supply to hip
Presentation: groin pain, pain with activity, pain at rest
Management: medications, osteotomy, grafting, surgical fixation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Legg-Calve-Perthes disease

A

idiopathic avascular necrosis of hip; affects children
Presentation: acute onset of pain w/ limping, decreased ROM or stiffness
Management: non weight bearing w/ sling; surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Slipped Capital Femoral Epiphysis (SCFE)

A

femoral epiphysis has slipped posteriorly
Presentation: obese adolescent presents w/ hip pain w/ limping and impaired internal rotation
Management: non-weight bearing w/ crutches or wheelchair; refer to orthopedic surgeon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Femoroacetabular Impingement

A

abnormal contact between anterior femoral head and acetabular rim
Presentation: pain w/ increased prolonged sitting, leaning forward
Management: physical therapy, intra-articular injection, arthroscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Acetabular Labral Tear

A

Presentation: anterior hip pain with activity
Management: joint injection, hip arthroscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Septic Arthritis

A

infection of joint
Presentation: pain in joint along w/ fever, inflammation at joint, decreased ROM
Management: broad spectrum antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Piriformis Syndrome

A

entrapment of sciatic N.
Presentation: buttock pain and parasthesia; wallet sign (pain when sitting on wallet)
Management: physical therapy, nerve pain medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Meralgia Paresthetica

A

compression of lateral femoral cutaneous N. passing through inguinal L.
Presentation: numbness/tingling or decreased sensation over lateral hip and thigh
Management: conservative therapy, nerve block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hip Flexion (knee straight)

A

90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hip Flexion (knee flexed)

A

120-135

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hip Extension

A

15-30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hip Internal rotation

A

30-40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hip External rotation

A

40-60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hip Abduction

A

45-50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hip Adduction

A

20-30

18
Q

Patellar reflex

A

L3/L4

19
Q

Achilles reflex

A

S1

20
Q

Flexion muscles/nerves

A

iliopsoas M.
Femoral N. (L2-L4)
Ventral rami of lumbars (L1-2)

21
Q

Extension muscles/nerves

A

gluteus maximus M.

Inferior Gluteal N. (L5-S2)

22
Q

Abduction muscles/nerves

A

gluteus medius and minimus Ms.

Superior Gluteal N. (L5-S1)

23
Q

Adduction muscles/nerves

A

adductor longus M.

Obturator N. (L2-4)

24
Q

Great toe dermatome

A

L5

25
Q

Posterolateral calf/little toe dermatome

A

S1

26
Q

Central compartment

A

labrum
ligamentum teres
articular surfaces

27
Q

Peripheral compartment

A

femoral neck

synovial lining

28
Q

Lateral compartment

A 
gluteus medius
gluteus minimus
piriformis
IT band
Trochanteric bursae
29
Q

Anterior compartment

A

iliopsoas insertion

iliopsoas bursae

30
Q

Log Roll

A

roll pt’s leg into internal and external rotation

(+) = pain
Indicates: central or peripheral compartment pathology

31
Q

C-Sign

A

Central compartment
pt points to source of pain with 2 fingers or cups just above trochanter

Indicates: labral pathology

32
Q

Labral Loading

A

Central Compartment
Flex the pt’s knee and hip to 90 and load into the femur

(+) = pain
Indicates: labral or cartilaginous pathology

33
Q

Labral Distraction

A

Central Compartment
distract pt’s femur away from joint

(+): improvement of pain
Indicates: labral or cartilaginous pathology

34
Q

Scour

A

Central compartment
Flex and externally rotate hip; load into socket and articulate through ROM

(+) = pain
Indicates: labral or articular cartilage pathology

35
Q

Apprehension: FABER

A

Central compartment
pt’s hip flexed, abducted, and externally rotated; physician induces further external rotation by applying posterior force at knee

(+) = anterior subluxation of hip or apprehension/pain
Indicates: labral pathology

36
Q

Rectus Femoris Test

A

Peripheral compartment
Pt supine w/ one hip flexed and other leg bent over edge of table

(+) = < 90 degree knee flexion
Indicates: rectus femoris contraction

37
Q

Jump Sign

A

Lateral Compartment
pt seated and pressure applied to greater trochanter

(+) = pt withdraws or jumps w/ pressure
Indicates: trochanteric bursitis

38
Q

Straight Leg Raise Test

A

Lateral Compartment
passively flex pt’s hip w/ knee extended

(+) = pain over lateral leg, especially at >15 degrees
Indicates: IT Band contracture
positive signs usually between 30-60 if caused by lumbosacral radiculopathy and/or sciatic neuropathy
Positive signs >70 is more likely mechanical low back pain due to muscle strain or joint disease

39
Q

Piriformis Test

A

Lateral Compartment
pt supine w/ hip and knee flexed, one ankle crossed over contralateral knee; pt abducts against resistance

(+) = pain over posterior aspect of greater trochanter
Indicates: piriformis spasm or pathology

40
Q

Patrick’s: FABER (lateral)

A

Lateral compartment
pt’s hip flexed, abducted, and externally rotated; physician braces contralateral ASIS, pt externally rotates/abducts against resistance

(+) = pain or weakness
Indicates: gluteus medius pathology

41
Q

Patrick’s: FABER (anterior)

A

Anterior compartment
pt’s hip flexed, abducted, and externally rotated; physician braces contralateral ASIS, pt internally rotates/adducts against resistance

(+) = anterior or medial groin pain/weakness
Indicates: iliopsoas insufficiency/pathology

42
Q

Thomas Test

A

Anterior compartment
pt supine and pulls knees to chest; one leg lower to table
(+) = inability to fully extend, extended leg raised off table
Indicates: hip flexor contraction

PCM1 Final Exam (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions