Hip Pathology and Intervention Flashcards
capsular pattern of the hip
medial rotation, abduction, flexion
2 symptoms that must be present to diagnose trochanteric bursitis
aching pain in lateral hip
tenderness of greater trochanter
PRICEM acute muscle strain management in first 2-5 days
P Protect, prevent, promote R Rest I Ice C Compression E Elevation M Modalities, massage, movement, mobilization
innervation of short head of biceps femoris
peroneal division of sciatic nerve
innervation of long head of biceps femoris
tibial division of sciatic nerve
most commonly injured component of the hamstrings
biceps femoris
these type of exercises are good for muscle strain, tendonitis, and tendinosis because it stimulates production of collagen
eccentric loading
typical length of rehab process following THA
3-6 months
4 stages of THA rehab
1 protection and mobility
2 controlled stability
3 strengthening
4 return to activity
type of THA fixation that allows for early weight bearing
cemented
type of THA fixation that requires 6 weeks of bone regrowth for safe mobilization
cementless
NWB status places more stress across the hip joint than PWB following a THA because of the muscle activity required to keep the leg off of the ground.
True or False
TRUE
amount of time required for capsule and connective tissues to heal following THA
6-12 weeks
precautions for posterior or posterior lateral THA approach
hip flexion 90
no adduction
no IR
THA precautions for anterior or anterior lateral approach
no hip extension or ER
precautions for Transtrochanteric or lateral approach for THA
no active abduction
contraindications to rehab following a THA
new arrythmia
acute cardiac event
pulmonary embolism
acute change in mental status
Wells Clinical Prediction Rules for Likelihood of Deep Vein Thrombosis (DVT)
Score of >2 or = 2
likely DVT
Wells Clinical Prediction Rules for Likelihood of Deep Vein Thrombosis (DVT)
score <2
DVT is unlikley
hemoptysis
coughing up blood
sudden SOB and pain in/around the chest should be a red flag for ____ following THA
pulmonary embolism
in order to d/c home from acute care, and pt. should be able to ambulate ____ feet with their AD
100-150ft
which has found to result in improved function for patients following THA
PWB or WBAT
WBAT
most traumatic hip dislocations are in the _______ direction (85-90%)
posterior
reduction of a dislocated hip should occur within ___ to ____ hours to reduce the risk of necrosis of the femoral head.
6-8
_________ syndrome results from entrapment of the sciatic nerve by tight tendinous bands near the lateral origin of the hamstrings at the ischial tuberosity.
hamstring
Entrapment of the lateral femoral cutaneous nerve of the thigh (L2-3 roots)
meralgia paresthetica
use of a __________ cane can be useful in acute and irritable cases of greater trochanteric bursitis
contralateral
Iliopsoas syndrome (bursitis or tendonitis) treatment:
hip rotation strengthening program
- med + lat rotation
- *strengthen around the problem area
normal Hb levels male + female
male: 14-18
female: 12-16
