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6 Orthopedics > L1 Hip Intro > Flashcards

L1 Hip Intro Flashcards

1
Q

Resting position of hip joint

A

least tension on capsule and ligaments

30° of flexion, 30° of abduction, slight ER

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2
Q

Closed pack position of hip

A

full extension, IR, and abduction

causes most amount of tension/stability within ligaments

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3
Q

Capsular pattern of hip

A

flexion, abduction, IR

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4
Q

Most congruent position of hip

A

flexion, abduction, ER

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5
Q

Flexion norm of hip

A

120°

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6
Q

Extension norm of hip

A

15-20°

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7
Q

Abduction norm of hip

A

40°

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8
Q

Adduction norm of hip

A

30°

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9
Q

External Rotation norm of hip

A

30-60°

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10
Q

Internal Rotation norm of hip

A

30-45°

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11
Q

What action produces the most force on the hip?

A

Running

Walking up stairs causes more than just walking

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12
Q

Legg-Calve Perthes age/sex

A

3-12 y/o
boys > girls

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13
Q

Slipped Capital Femoral Epiphysis age/sex

A

11-13 girls, 13-15 y/o boys

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14
Q

Labral lesions age

A

18-40 y/o

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15
Q

Femoral/pelvic stress fractures age/sex

A

Young, female

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16
Q

Osteoid osteoma age/sex

A

5-25 y/o, 2:1 M vs F

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17
Q

Hip Osteoarthritis age/sex

A

> 50 y/o

18
Q

Gluteal Tendinopathy age/sex

A

> 40 y/o, female

19
Q

Synovial Chondromatosis age/sex

A

30-50 y/o, 2:1 M vs F

20
Q

Colon Cancer Red Flags

A

> 50 y/o, rectal bleeding, black stool, weight loss, family hx, pain not relieved with position changes

21
Q

Pathological Fx of Femoral Neck Red Flags

A

female >70 y/o, hip/groin/thigh pain, history of all from standing, severe/constant pain that is worse with any movement, shortened and externally rotated LE

22
Q

AVN of femoral head Red Flags

A

long term steroid use, alcohol abuse, trauma, hx of AVN on opposite side, gradual onset of pain, use of glucocorticoids

23
Q

Inguinal hernia red flags

A

-new lump in groin or other abdominal area
-may ache, non-tender to palpation
-increases in size with standing and coughing
-usually reducible by posture or manual

24
Q

Irreducible hernia red flags

A

bowel obstruction, nausea, vomiting, appears ill, fever

need to refer to ER immediately

25
Q

When to refer (red flag S/S)

A

trauma
inability/unwillingness to bear weight
severely antalgic gait
observed deformity
pain not relieved with rest
systemic/constitutional symptoms

26
Q

Systemic S/S

A

disturbs sleep
deep aching or throbbing
reduced by pressure
constant or waves of pain/spasm
not aggravated by mechanical stress

27
Q

Mechanical S/S

A

generally lessens at night
sharp or superficial ache
usually decreases with cessation activity
aggravated by mechanical stress

28
Q

Snapping sensation

A

extra-articular
low pitched and feels deep

IT band moving over the greater trochanter and iliopsoas moving over underlying bony prominences

29
Q

Clicking/popping

A

intra-articular
high pitched sound

indicates labral tears, ligamentum teres tears, loose bodies, general instability

30
Q

Giving way/giving out/weakness indicates

A

instability, fracture, pain inhibition

31
Q

Observation for Hip

A

Gait
Posture
Transfers

32
Q

Lumbar Clearing Tests

A

AROM = flexion, extension, lateral flexion, lumbar extension

33
Q

Important with lumbar clearing

A
  1. Overpressure should not be applied in the case of acute/severe pain OR if AROM and/or repeated movements produced symptoms
  2. Repeated movement testing not needed for quadrant testing (extension)
34
Q

Bony end feel

A

bone spur/OA, stops before normal ROM

35
Q

Soft capsular end feel

A

soft tissue edema

36
Q

Springy end feel

A

rebound movement, torn meniscus

37
Q

Empty end feel

A

pain before mechanical limitation, acute fracture

38
Q

Spasticity end feel

A

upper motor neuron lesion

39
Q

Squat test

A

feet shoulder width apart, as deep as they can go

SN = .75
SP = .41

40
Q

Patrick’s Test (FABER)

A

patient is supine
PT stabilizes contralateral ASIS
foot of limb to be tested placed just proximal to opposite patella
testing limb overpressured into abduction/ER

positive if it recreates their anterior/groin pain

SN = .57, SP = .71, +LR = 1.9

41
Q

FADIR Test

A

passively flex, adduct, and IR to end range

psoitive if it recreates their symptoms
indicative of FAI

SN = .78, SP = .10, -LR. =2.3

6 Orthopedics (17 decks)

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