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SCS Prep > Hip Study Guide > Flashcards

Hip Study Guide Flashcards

1
Q

Femoral

A

L2-L3

Quads

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2
Q

Sciatic

A

L5-S3

biceps fem

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3
Q

Tibial

A

L4-S1

semis, popliteus

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4
Q

Obturator

A

L3-L4

adductors, pectineus, gracilis

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5
Q

Superior gluteal

A

L4-S1

iliacus, TFL, glut med/min

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6
Q

Inferior gluteal

A

L5-S1

glut max

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7
Q

Piriformis

A

S2 nerve/nerve root

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8
Q

Psoas major/minor

A

femoral and L1

L1-L4 nerve roots

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9
Q

Gemellus

A

Superior (L5-S2)

Inferior (L4-S1)

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10
Q

Obturator muscles

A

Internus (L5-S2)

Externus (L3-L4, obturator nerve)

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11
Q

Teres Ligament

A

intrinsic stabilizer

resists hip FABER

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12
Q

Iliofemoral ligament

A

resists ext, ER

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13
Q

Ischiofemoral ligament

A

resists abd w/ hip flex/IR

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14
Q

Pubfemoral ligament

A

resists hyperabd and ER

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15
Q

Hip OA Clusters

A

1 - hip pain, IR < 15 , flex < 115

2 - painful IR, age > 50, AM stiff > 60 min

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16
Q

Hip OA CPR

A 
IR < 25
squatting aggravates
flex ROM = lat hip pain
SCOUR or groin pain
pain with ext
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17
Q

Labral Repair

A

1-2 weeks painfree ROM
limit flex 4 weeks
WBAT
no running 12 weeks

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18
Q

Debridement

A

1-2 weeks painfree ROM
limit flex 4 weeks
progress as tol (no time dependent restrictions)

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19
Q

Osteoplasty

A

1-2 weeks painfree ROM
limit flex 4 weeks
initially 20 lb PWB, WBAT @ 4-6 weeks
progress as tol @ 6 weeks

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20
Q

Capsular Modification

A

1-2 weeks painfree ROM
WBAT
limit ER and ext 4 weeks
no running 12 weeks

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21
Q

Microfracture

A

1-2 weeks painfree ROM
limit flex 4 weeks
initially 20 lbs PWB, WBAT @ 4-6 weeks
no running 12-16 weeks

22
Q

Angle of Inclination

A

angle between neck of femur and shaft

normal 125, > 140 coxa valga, < 120 coxa vara

23
Q

Angle of Torsion

A

ankle of fem neck and transverse axis of fem condyles
12-15 normal
anteversion - inc angle, toe in
retroversion - dec, toe out

24
Q

Thomas Test

A

tight hip flexors

25
Q

FABER

A

SIJ, ant hip pain

26
Q

Renne’s Test

A

TFL pain

27
Q

Nobel’s Test

A

TFL dysfxn

28
Q

Ely’s Test

A

tight rec fem

29
Q

Log roll

A

intra-articular pathology

30
Q

FADIR

A

hip impingement, FAI

31
Q

Dial Test

A

ant lax

32
Q

Pace’s and Freiberg’s Sign

A

piriformis syndrome

33
Q

Craig’s Test

A

hip anteversion

34
Q

Percussion Test

A

LE fx

35
Q

C-sign

A

pain around hip into groin

36
Q

Quad Contusion (CET)

A

C - direct blow to upper thigh
E - pain, loss of function initially, bruising
T - RICE, ROM

avoid heat, massage, and US to prevent myositis ossificans

37
Q

Heterotrophic Ossification (Myositis Ossificans) (CEIT)

A

C - severe blow or repetitive blows; follows a hematoma (acute inflammation following hemorrhage that may become calcified)
E - pain, muscle weakness, tissue tension
I - X-rays 2-6 weeks after injury
T - conservative, surgery after 1 year

38
Q

Femoral Fx (CEIT)

A

C - significant trauma
E - difficulty standing/walking, pain, hip may ER/slight abd (makes it short)
I - X-ray
T - immediately immob, open or closed reduced, rehab is low (4 mo)

fx across epip have highest incidence of AVN

39
Q

Femoral Stress Fx (CEIT)

A

C - most often in endurance athletes, overuse
E - several weeks of gradually increasing pain, pain in groin/ant thigh - may refer to knee, difficulty WBing w/ time
I - A/P X-ray may or may not show, bone scan
T - rest usually 2-5 mo, conservative tx

40
Q

Quad Strain (CET)

A

C - sudden, forceful contraction of hip/knee into flex, usually with hip ext
E - acute pain, restricted ROM, antalgic gait
T - RICE, conservative tx, avoid overstretching

41
Q

HS Strain (CET)

A

C - change in direction/speed, during terminal swing
E - hemorrhage, bruise, pain, antalgic gait
T - RICE, conservative tx, avoid overstretching

42
Q

Adductor Strain (CET)

A

C - running, jumping, twisting esp w/ hip ER
E - may not notice pain until end of activity, pain, weakness, antalgic gait
T - RICE, conservative tx, avoid overstretching

43
Q

Hip Dislocation (CET)

A

C - traumatic force along femur usually with knee bent, mostly post
E - thigh - FADIR, palpation - tender, possible swelling, may feel femur post to acet
T - immediate medical attention for reduction, immob, use of AD

can lead to AVN

44
Q

SCFE (CEIT)

A

C - adolescent boys most common, tall and thin or obese
E - groin pain, limited FABIR, walk w/ limp (sometimes see ER of foot or appearance of short limb)
I - frog leg view, Kline’s line
T - NWBing, corrective surgery if unsuccessful

45
Q

LCP Disease (CEIT)

A

C - AVN of fem head, 4-10 yo, boys common
E - groin pain, referral to knee, limping, comes on gradually w/o MOI
I - A/P, frog leg; MRI best
T - rest and/or immob; avoid WBing

46
Q

Snapping Hip (CET)

A

C - excessive repetitive movement, ITB snapping over greater troch or iliopsoas over iliopectineal eminence
E - iliopsoas “clunk heard across room”; ITB “seen across room”; feeling of instability
T - anti-inflammatories, address mobility restrictions, hip stability exercises

47
Q

Labral Tear (CET)

A

C - forced hip ER while in ext, repetitive motions, degeneration
E - pain, clicking, clunking, locking
T - conservative, > 4 wks - possible debridement or repair

48
Q

Hip Pointer (CET)

A

C - iliac crest contusion, blow to iliac crest
E - pain, bruise, difficulty rotating trunk
T - RICE, referred to X-ray, protection of area

49
Q

Pelvic Stress Fx/Osteitis Pubis (OP) (CEIT)

A

C - history of overuse, repetitive stress causes if chronic inflammation
E - insidious onset, pain at pub symp, feels better NWBing
I - A/P or frog, bone scan
T - rest, anti-inflammatories, gradual return to exercises

50
Q

Athletic Publagia (CET)

A

C - repetitive stress from kicking, twisting, cutting; shear forces from forceful hip abd/hypertext
E - dull/widespread pain in groin, pain inc w/ resisted hip flex, IR and abdominal contraction, radiates to inner thigh
T - conservative tx, cortisone injection, surgery

51
Q

Hip Replacement

A

Precautions
ant - avoid ER/ext, no prone lying
post/lat - no flex > 90, IR, add past midline

WBing - usually WBAT w/ AD, sometimes given knee immob

SCS Prep (16 decks)

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