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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
renne's test
pain from TFL
26
ely's test
tightness in RF
27
log roll
internal hip patholgy (intra-artucular)
28
FADIR
hip impingment and FAI
29
dial test
anterior laxity
30
pace sign and freiber sign
piriformis
31
craigs test
anteversion of hip
32
percussion test
freacture of LE
33
c-sign
hip to groin pain
34
quad contusion cause, exam and treatment
direct blow, pain and loss funciton, brusing, RICE and ROM
35
cause, exam and treatment heterotrophic ossification (myositis ossificans) when do imaging
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
femoral fracture appearance
hip in ER and slight ABD, making it look shorter
37
how do you treat a femoral fracture
4 months are out, open or closed
38
femoral fracture wehre has the greatest risk for AVN
across the epiphysis
39
femoral stress fracture cause exam and treatment
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
quad strain cause, exam and treatment
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
HS strain cause, exam and treatment DURING WHAT PHASE
cause: changes in direction and speed during terminal swing phase exam: hemorrage and bruising, pain and antaligic gait
42
most common muscle strain is
HS strain
43
adductor strain cause, exam and treatment
cause: running, jumping, twisting with hip in ER exam: pain at end of activity, weakness and antalgic gait RICE and conservative treatment
44
hip dislocation cause, exam and treatment
cause: force with knee bent, usually postreior exam: thigh and palpation, thigh looks IR, flex and ADDD TTP, swelling, AVN IS A RISK
45
SCFE cause, exam and treatment
boys, tall/thin or obese groin pain, limitations in ABD/FLEX /IR, walk with a limp need NWB
46
what is a view of x-ray to see SCFE
frog leg or klin'es line
47
how might SCRE presents
leg may be in ER making it look shorter
48
LCP cause, exam and treatment
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
imaging for LCP
frog leg and AP, and MRI !! best!!
50
where are the two sites of snapping hip
iliopsoas over the iliopectineal eminence, pr the ITB over the GT
51
how do you differentiate, on exam, iliopsoas vs ITB snapping hip
iliopsoas is hear across the room, ITB is see across the room both feel unstable
52
treatment snapping hips
anti-inflammatories, address mobility restrictions and hip stability exericses
53
labral tear cause, exam and treatment
cause: forced ER in extension, repetitive movement and degeneration exam: pain/click/clunk/lock conserve for 4 weeks, then debrde or repair
54
hip pointer cause, exam and treatment
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
pelvic stress fracture/osteitis pubis cause, exam and treatment
cause: overuse, repetitive stress and inflammation exam: insidious onset, pain at pubic symphysis, better with NWB treatment: rest, anti-inflam and grad RTP
56
athletic pubalgia cause, exam and treatment
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
labral repair -weeks of ROM -have to limit what -running RTP
1-2 weekspain free ROM limiti hip flexion 4 weeks no running before 12 weeks
58
hip debridement restrictions
none, WBAT, rom as tolerated and progress as tolerated
59
hip osteoplasty , WB restriction, avoid what position, and ROM
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
hip post op capsular modification, ROM, WB, limit what, and running RTP
1-2 weeks ROM WBAT limit ER and ext for 4 weeks no running before 12 weeks
61
microfracture restrictions on ROM, limit what, WB status, and RTrunning
ROM 1-2 weeks pain free limit hip flex 4 weeks 20 lbs PWB beginnig 4-6 weeks WBAT running 12-16 weeks
62
hip OA clusters 1 and 2
cluster 1: hip pain, IR <15 degrees, flex <115 cluster 2: (if IR>15)... painful IR, age>50, morning stiff >60 minutes
63
CPR or hip OA
IR < 25 degrees squatting aggrevates flex ROM causes lat hip pain scour or groin pain pain with extension
64
anterior hip replacement precautions
avoid hyperextension, ER and prone lying
65
posterior hip replacement precautions
no flex past 90, no crossing midline and no IR
66

SCS (26 decks)

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