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SCS > SCS Study Guide- Hip > Flashcards

SCS Study Guide- Hip Flashcards

1
Q

RF, VL, MS, VI innervation by

A

femoral nerve L2-3

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2
Q

biceps femoris innervation

A

sciatic nerve L5-S3

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3
Q

semitendinosus, semimembranosus and popliteus

A

tibial nerve L4-S1

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4
Q

adductor longus, brevis, magnus, pectineus and gracilis are innervated by the

A

obtruator L3-4

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5
Q

psoas major and minor innervation

A

femoral and first lumbrical

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6
Q

liacus, TFL, Glute med and glute min innervated by

A

superior gluteal

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7
Q

glute max innervatin

A

Inf glute l5-s2

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8
Q

piriformis innervated by

A

second sacral

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9
Q

superior gemellus innervtion

A

5th lumbar, first and second sacral

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10
Q

inferior gemellus innervation

A

4th and 5th lumbrical and first sacral

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11
Q

ontruator internus

A

5th lumbar, first sacral

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12
Q

obtruator externus

A

obtruator

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13
Q

teres ligament resists…

A

hip flex, abd and ERi

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14
Q

liofemoral ligament is AKA and resists

A

Y ligament, resists ext and ER

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15
Q

ischiofemoral ligament resists…

A

adduction with hip flexed and IR

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16
Q

pubofemoral ligament resists…

A

hyperabduction and ER

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17
Q

caxa valga limits

A

over 140

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18
Q

coxa vara limits

A

under 120

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19
Q

normal angle of inclination

A

125

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20
Q

what is normal torsion

A

12-15 degrees

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21
Q

anteversion is an ____ angle of torsion and creates toe ___

A

increased, toe in

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22
Q

retroversion is an ____ in angle of torsion and creates a toe ___

A

decreased, toes out

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23
Q

thomas test

A

hip flexxors

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24
Q

FABER test

A

SIJ and hip impliocations, pain in front of the hip

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25
Q

renne’s test

A

pain from TFL

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26
Q

ely’s test

A

tightness in RF

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27
Q

log roll

A

internal hip patholgy (intra-artucular)

28
Q

FADIR

A

hip impingment and FAI

29
Q

dial test

A

anterior laxity

30
Q

pace sign and freiber sign

A

piriformis

31
Q

craigs test

A

anteversion of hip

32
Q

percussion test

A

freacture of LE

33
Q

c-sign

A

hip to groin pain

34
Q

quad contusion
cause, exam and treatment

A

direct blow, pain and loss funciton, brusing, RICE and ROM

35
Q

cause, exam and treatment heterotrophic ossification (myositis ossificans)
when do imaging

A

blow to thigh, ossification follow hematoma (hemorrage that can calcify)
pain, weak, tissue tension,
xray 2-6 weeks out surgery if after 1 year

36
Q

femoral fracture appearance

A

hip in ER and slight ABD, making it look shorter

37
Q

how do you treat a femoral fracture

A

4 months are out, open or closed

38
Q

femoral fracture wehre has the greatest risk for AVN

A

across the epiphysis

39
Q

femoral stress fracture cause exam and treatment

A

cause: endurance/overuse
exam: graudal inc pain over weeks, pain in groin, anterior thigh, knee, WB worse, AP x-ray but also bone scan,
treatment: rest 2-5 months converstively

40
Q

quad strain cause, exam and treatment

A

cause: sudden and forceful contraction of the hip and knee into flexion with the hip extended
exam: pain, limited ROM, antalgi gait
RICE, compression, avoid overstretching

41
Q

HS strain cause, exam and treatment
DURING WHAT PHASE

A

cause: changes in direction and speed during terminal swing phase
exam: hemorrage and bruising, pain and antaligic gait

42
Q

most common muscle strain is

A

HS strain

43
Q

adductor strain cause, exam and treatment

A

cause: running, jumping, twisting with hip in ER
exam: pain at end of activity, weakness and antalgic gait
RICE and conservative treatment

44
Q

hip dislocation cause, exam and treatment

A

cause: force with knee bent, usually postreior
exam: thigh and palpation, thigh looks IR, flex and ADDD
TTP, swelling, AVN IS A RISK

45
Q

SCFE cause, exam and treatment

A

boys, tall/thin or obese
groin pain, limitations in ABD/FLEX /IR, walk with a limp
need NWB

46
Q

what is a view of x-ray to see SCFE

A

frog leg or klin’es line

47
Q

how might SCRE presents

A

leg may be in ER making it look shorter

48
Q

LCP cause, exam and treatment

A

AVN femoral head, kids 4-10, moe common in boys
groin pain, referred to the knee, limping, gradual with no MOI,
rest avoidance of WB and time to treat

49
Q

imaging for LCP

A

frog leg and AP, and MRI !! best!!

50
Q

where are the two sites of snapping hip

A

iliopsoas over the iliopectineal eminence, pr the ITB over the GT

51
Q

how do you differentiate, on exam, iliopsoas vs ITB snapping hip

A

iliopsoas is hear across the room,
ITB is see across the room
both feel unstable

52
Q

treatment snapping hips

A

anti-inflammatories, address mobility restrictions and hip stability exericses

53
Q

labral tear cause, exam and treatment

A

cause: forced ER in extension, repetitive movement and degeneration
exam: pain/click/clunk/lock
conserve for 4 weeks, then debrde or repair

54
Q

hip pointer cause, exam and treatment

A

cause: iliac crest contusion, blow to iliac crest
exam: pain and bruising and difficulty rotating trunk
treatment/l RICE, x-ray and protection to area

55
Q

pelvic stress fracture/osteitis pubis cause, exam and treatment

A

cause: overuse, repetitive stress and inflammation
exam: insidious onset, pain at pubic symphysis, better with NWB
treatment: rest, anti-inflam and grad RTP

56
Q

athletic pubalgia cause, exam and treatment

A

cause: repetitive stress from kick/twist/cutting/shear force from ADD and hyperxxt
exam: pain in groin, inc with resisted flex/IR/abdominals and radiates into inner thigh
treatment: conservative, cortisone injection and surgery

57
Q

labral repair
-weeks of ROM
-have to limit what
-running RTP

A

1-2 weekspain free ROM
limiti hip flexion 4 weeks
no running before 12 weeks

58
Q

hip debridement restrictions

A

none, WBAT, rom as tolerated and progress as tolerated

59
Q

hip osteoplasty , WB restriction, avoid what position, and ROM

A

initally, PWB at 20lbs, then 4-6 weeks, WBAT ten at 9 weeks progress as tolerated.
1-2 weeks ROM
limit hip flex to 4 weeks

60
Q

hip post op capsular modification, ROM, WB, limit what, and running RTP

A

1-2 weeks ROM
WBAT
limit ER and ext for 4 weeks
no running before 12 weeks

61
Q

microfracture restrictions on ROM, limit what, WB status, and RTrunning

A

ROM 1-2 weeks pain free
limit hip flex 4 weeks
20 lbs PWB beginnig
4-6 weeks WBAT
running 12-16 weeks

62
Q

hip OA clusters 1 and 2

A

cluster 1: hip pain, IR <15 degrees, flex <115
cluster 2: (if IR>15)… painful IR, age>50, morning stiff >60 minutes

63
Q

CPR or hip OA

A

IR < 25 degrees
squatting aggrevates
flex ROM causes lat hip pain
scour or groin pain
pain with extension

64
Q

anterior hip replacement precautions

A

avoid hyperextension, ER and prone lying

65
Q

posterior hip replacement precautions

A

no flex past 90, no crossing midline and no IR

66
Q
A

SCS (26 decks)

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