Innominates Flashcards

1
Q

pelvic girdle

components

A
  1. sacrum
  2. coccyx
  3. hip bones

hip bones aka innominates

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2
Q

innominates

components

A

ilium
ischium
pubic

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3
Q

acetabulum

hip socket

A

all 3 innominate bones (ilium + ischium + pubis)

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4
Q

femoro-acetabular joint

hip joint

A

true ball and socket

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5
Q

ligaments of hip joint

A
  1. iliofemoral - ANT
  2. pubofemoral- ANT
  3. ischiofemoral - POST

twisted

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6
Q

pes anserine

A

proximal medial surface of tibia

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7
Q

hip FLEXORS

A
  1. psoas major and minor
  2. iliacus
  3. rectus femoris
  4. sartorius
  5. tensor fasciae latae

sartorius and TFL are minor flexors

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8
Q

hip extensors

A

gluteus maximus
hamstring muscles

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9
Q

hamstring muscles

A

lateral:
biceps femoris long and short head
medial:
semimembranosus
semitendinosus

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10
Q

ADductor muscles

A

GAAAP
gracilis
adductor longus, magnus, brevis
pectineus

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11
Q

evaluate ADduction

A

stabilize opposite leg
ABduct hip in question

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12
Q

hip ABductors and internal rotators

A

gluteus medius and minimus
medius superficial to minimus

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13
Q

Trendelenburg Sign

Gait

A

hip of opposite leg standing on drops

weakness of gluteus medius and possible lesion to superior gluteal nerve (on standing leg)

ex. stand L > R hip drop = L weak glut

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14
Q

evaluate ABduction

A

stabilize leg
ADduct other leg

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15
Q

external rotators

A

piriformis
gluteus maximus

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16
Q

Anterior Innominate Rotation

A

ASIS is inferior

17
Q

Posterior Innominate Rotation

A

ASIS is superior

18
Q

lumbo-pelvic-femoral rhythm

A

innom follows thigh
lumbar spine move w/ sacrum in OPPOSITE directions
point when innom locks move on sacrum = move lumbar

can move lumbar spine by moving thigh

19
Q

thigh extends past innom motion on sacrum

A

lumbar spine extends

also applies to flexion

20
Q

ABduct thigh past innom motion on sacrum

A

lumbar spine side bends on ipsilateral side (same)

21
Q

Inflare

innominates

A

ASIS closer to midline

22
Q

Outflare

innominates

A

ASIS farther from midline

23
Q

Upslip/Upshear

Innominates

A

superior translation of innom on sacrum

24
Q

Downslip/downshear

Innominates

A

inferior translation of innom on sacrum

25
Q

Superior Pubic Shear

pubic symphysis

A

pubic tubercule high on side of positive test

26
Q

Inferior pubic shear

pubic symphysis

A

pubic tubercule low on side of positive test

27
Q

Standing Flexion Test

A

positive on side that PSIS moves further = side of SD

28
Q

ASIS Compression Test

A

positive on side less compressible= side of SD

29
Q

passive joint movement

A

ME and CS
should not feel any pain, numb, tingling, etc

30
Q

ME

A

pt should feel stretch NOT pain

31
Q

CS

A

tenderness with tender point but NO pain getting to treatment position

32
Q

Clinical Importance

A

lower extremity edema
constipation/diarrhea
urinary incontinence
bedwetting
pelvic pain
low back pain
hip pain
radiculopathy

33
Q

Lymphadema

A

congestion of lymph return = swelling
painless and persistent
pitting w/o ulceration/varicosities/stasis pigmentation