PCM Midterm Flashcards
(90 cards)
Hip ROM
Flexion- 90 Flexion with knee flexed- 120-135 Extension- 15-30 Abduction- 45-50 Adduction- 20-30 Internal Rotation- 30-40 External Rotation- 40-60
What muscle is responsible for: Hip flexion? Hip extension? Hip abduction? Hip adduction?
Flexion- Iliopsoas
Extension- Gluteus maximus
Abduction- Gluteus medius and minimus
Adduction- Adductor longus
What is in the central compartment of the hip?
Labrum, ligamentum teres, articular surfaces
What is in the peripheral compartment of hip?
Femoral neck, synovial lining
What is in the lateral compartment of the hip?
Gluteus medius/minimus, piriformis, IT band, trochanteric bursae
What is in the anterior compartment?
Iliopsoas insertion and bursae
What is the log roll test? What compartments does it test for?
Nonspecific central or peripheral pathology
Patient supine, roll leg internally and externally
What are the 5 central compartment tests?
C-sign Labral loading Labral distraction Scour Apprehension FABER
What is the c-sign test?
What compartment?
What is a positive test?
What does it indicate?
Patient cups above trochanter with fingers
Central compartment
C-sign is positive
Indicates- labral pathology
What is labral loading?
What compartment?
What is a positive test?
What does it indicate?
Flex patients knee and hip 90, apply posterior force
Central compartment
Positive test- pain
Indicates- labral or cartilage pathology
What is labral distraction?
What compartment?
What is a positive test?
What does it indicate?
Labral loading, but pull femur anteriorly
Central compartment
Positive test- improve pain
Indicates- labral or cartilage pathology
What is the scour test?
What compartment?
What is a positive test?
What does it indicate?
Flex, externally rotate, and move in circular motion
Central compartment
Positive test- pain
Indicates- labral or cartilage pathology
What is apprehension FABER test?
What compartment?
What is a positive test?
What does it indicate?
Flex, abduct, and externally rotate hip
Central compartment
Positive test- apprehension
Indicates- anterior labral pathology
What are the 2 test for peripheral compartment of hip?
Ely’s test
Rectus femoris test
What is Ely’s test?
What compartment?
What is a positive test?
What does it indicate?
Patient prone, flex knees
Peripheral compartment
Positive test- ipsilateral hip raises
Indicates- rectus femoris contracture
What is rectus femoris test?
What compartment?
What is a positive test?
What does it indicate?
Patient supine, flex one hip to chest, let other fall over end of table
Peripheral compartment
Positive test- knee flexed less than 90
Indicates- rectus femoris contracture
What are the 6 tests for lateral compartment of hip?
Jump sign Straight leg raise test Ober's test Piriformis test Trendelenburg Patricks FABER
What is jump sign?
What compartment?
What is a positive test?
What does it indicate?
Patient seated, apply pressure to greater trochanter
Lateral compartment
Positive test- jumps with pressure
Indicates- trochanteric bursitis
What is straight leg raise test?
What compartment?
What is a positive test?
What does it indicate?
Raise leg with knee extended
Lateral compartment
Positive test- pain
Indicates- lateral compartment pathology
What is obers test?
What compartment?
What is a positive test?
What does it indicate?
Patient lat recumbent, abduct top leg and then lower
Lateral compartment
Positive test- cant adduct
Indicates- IT Band contracture
What is piriformis test?
What compartment?
What is a positive test?
What does it indicate?
Patient supine with hip and knee flexed with other leg over the flexed knee; have them abduct against resistance
Lateral compartment
Positive test- pain at greater trochanter
Indicates- piriformis pathology
What is trendelenburg test?
What compartment?
What is a positive test?
What does it indicate?
Patient stands, lifts one foot off floor
Lateral compartment
Positive test- cant keep hip level
Indicates- contralateral gluteus medius weakness
What is Patricks FABER test?
What compartment?
What is a positive test?
What does it indicate?
Hip flexed, abducted, external rotated. Brace contralateral ASIS and have them abduct against resistance
Lateral compartment
Positive test- pain
Indicates- gluteus medius weakness
What are the 3 tests for anterior hip compartment?
Patricks FABER
Psoas Test
Thomas Test