Lecture 5A

Question 1

What direction does the head of the femur face?

Answer 1

Medially, superiorly, and anteriorly

Question 2

What is the close packed position of the hip

Answer 2

Full ext, internal rotation and abduction

Question 3

What is the open packed position of the hip

Answer 3

30 flexion, 30 abduction, slight ER

Question 4

What is the capsular pattern of the hip

Answer 4

Flexion -> Abduction -> IR

Question 5

Hip Dysplasia vs FAI

Answer 5

Hip dysplasia - undercoverage of femoral head by acetabulum

femoro-acetabular impignement- either excess bone on femur or overcoverage by acetabulum

Question 6

Coxa valga is any angle over:

Answer 6

139

Question 7

Coxa vara is any angle under…

Answer 7

125

Question 8

What is the normal range of the angle of torsion

Answer 8

adults 10-15

infants: 30

Question 9

anteversion causes _______

Answer 9

toe in and hip IR

Question 10

retroversion causes __________

Answer 10

toe out and ER

Question 11

Excessive anteversion is an angle ____________

Answer 11

greater than 15

Question 12

relative retroversion is _______

absolute retroversion is ________

Answer 12

Less than 10

Less than 0

Question 13

What is the only muscle that flexes the hip at the end range of flexion

Answer 13

illiopsoas

Question 14

at the spine: The illiopsoas contraction causes:

Answer 14

Increased lumbar lordosis

Question 15

The rectus femoris pulls the innominate into _______

Answer 15

anterior tilt

Question 16

Glute med posterior fibers vs anterior fibers

Answer 16

posterior fibers (tend to be weaker) - extend, Abduct, ER

anterior: Flex Abduct, IR

Question 17

Patients with sway back posture, spinal DJD, and hip DJD commonly have an atrophied ____________

Answer 17

glute max

Question 18

What adductor muscle is most commonly strained

Answer 18

adductor longus

Question 19

What are the 3 most important bursas in the hip

Answer 19

Illiopsos bursa - largest

Trochanteric bursa- split ijnto 3 bursas around greater trochanter

ischiogluteal bursa

Question 20

The hip joint is innervated by _______, therefore pain from the hip can refer __________

Answer 20

L3

Anywhere in the thigh leg or foot

Question 21

Blood supply to the femoral head goes through…

Answer 21

Ligamentum teres

Question 22

Normal hip flexion

ext

Answer 22

110-120

10-15

Question 23

normal hip abd

and add

Answer 23

30-50

25-30

Question 24

normal hip IR

ER

Answer 24

30-40

40-60

Question 25

Hip Arthokinematics:

Flexion:

Extension:

Abduction:

Adduction:

IR:

ER:

Answer 25