OSCE Hip

Question 1

Observation/palpation

Answer 1

• ASIS, iliac crest, greater trochanter
• pubic tubercles, PSIS, ischial tuberosity
• SI joint, inguinal ligament
• femoral artery, sartorius muscle, adductor longus, sciatic n

Question 2

Femoral triangle

Answer 2

• superiorly= inguinal ligament
• medially= adductor longus m
• laterally= sartorius m

Question 3

Flexors of the hip

Answer 3

• iliopsoas
• sartorius
• rectus femoris
• tensor fascia lata/IT band

Question 4

adductor of the hip

Answer 4

-adductor longus/brevis/magnus

Question 5

Abductor muscles?

Answer 5

• gluteus medius and minimus

- tensor fascia lata/IT band

Question 6

What are extensor muscles?

Answer 6

• gluteus maximus m

- hamstrings (biceps femoris m, semitendinosus/semimembranosus)

Question 7

Osteopathic evaluation

Answer 7

• hip flexion/extension dysfunction
• hip external/internal rotation dysfunction
• hip abduction/adducation dysfunction
• IT band restriction

Question 8

How are dysfunctions named?

Ex) Tight hamstrings

Answer 8

• tight hamstrings lead to decrease in hip flexion/knee extension
• restriction of hip flexion= ease of motion to extension= Hip EXTENSION dysfunction

Question 9

ROM for hip

Answer 9

• flexion= 90 knee extended, 120-135 knee flexed
• extension= 15-30
• internal rotation= 30-40
• external rotation= 40-60
• abduction= 45-50
• adduction= 20-30

Question 10

Muscles strength testing: flexion, extension, abduction, adduction

Answer 10

• flexion= iliopsoas m. And femoral n. (L1-L2)
• extension= gluteus maximus m. And inferior gluteal n. (L5-S2)
• abduction= gluteus medius/minimus m. And superior gluteal n. (L5-S1)
• adduction= adducator longus m. And obturator n. (L2-L4)

Question 11

What is the grade scale for muscle strength testing?

Answer 11

0/5= no muscle contraction
1/5= barely detectable flicker/trace movement
2/5= active movement w/o gravity (doc help)
3/5= active movement against gravity
4/5= active movement against gravity and some resistance
5/5= active movement against gravity and resistance w/o signs of fatigue (normal)

Question 12

What are structures and pathology in the central compartment?

Answer 12

• contents: labrum, ligamentum teres, articular surfaces
• pathology: labral tears, ligamentum teres tears, oseochondral defects, chondromalacia/osteoarthritis, congenital hip dysplasia, loose bodies

Question 13

What is in the peripheral compartment are what are pathologies?

Answer 13

• contents: femoral neck, synovial lining

- pathology: loose bodies, impringment syndrome (CAM and pincer types), synovitis

Question 14

What is in the lateral compartment are what are pathologies?

Answer 14

• contents: gluteus medius, gluteus minimus, piriformis, IT band, trochanteric bursa
• pathology: IT band syndrome, bursitis, rotator cuff tendinopathies

Question 15

What is in the anterior compartment and what are pathologies?

Answer 15

• contents: iliopsoas insertion, iliopsoas bursae

- pathology: psoas tendonitis