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6 ORTHO > VERBALS HIP AND PELVIS > Flashcards

VERBALS HIP AND PELVIS Flashcards

1
Q

BONY PALPATION: HIP AND PELVIS

A

ANTERIOR

  1. ASIS
  2. Iliac Crest
  3. Iliac Tubercle
  4. Greater Trochanter

POSTERIOR

  1. PSIS
  2. Ischial tuberosity
  3. Coccyx
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2
Q

SOFT TISSUE PALPATION: HIP & PELVIS

A
  1. Femoral Triangle Borders
    • Sartorius
    • Adductor Longus
    • Inguinal Ligament
  2. Quadriceps Muscle (palpate as a unit and individually)
    • Vastus Lateralis
    • Vastus Medialis
    • Vastus Intermedius
    • Rectus Femoris
  3. Greater Trochanteric Bursa
  4. Gluteus Medius
  5. Gluteus Maximus
  6. Sciatic Nerve
  7. Cluneal Nerves
  8. Hamstrings
    • Biceps femoris
    • Semitendinosus
    • Semimembranosus
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3
Q

RANGE OF MOTION:

HIP AND PELVIS

A
  • Flexion 120
  • Extension 30
  • Abduction 45
  • Adduction 45
  • Internal Rotation 45
  • External Rotation 45
  • Flexion and Adduction
  • Flexion, Abduction, and External rotation
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4
Q

LEG LENGTH DISCREPANCY

A

POSITIVE:

  • Different Measurements

INDICATES:

  • True = bony abnormality above or below level of trochanter difference (anatomical short leg).
  • Apparent = pelvic Obliquity (Tilted pelvis)
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5
Q

ALLIS SIGN

A

POSITIVE:

  • Difference in height and anteriority of the knees

INDICATES:

  1. If one knee is lower = ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
  2. If one knee is anterior = ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)
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6
Q

THOMAS TEST

A

POSITIVE:

  • Lumbar spine maintains lordosis (should flatten) and hip or leg flexes

INDICATES:

  • Contracture of the hip flexors (iliopsoas)
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7
Q

ANVIL TEST

A

POSITIVE:

  • Localized pain in long bone or in hip joint

INDICATES:

  • Possible Fracture of long bones, or hip joint pathology
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8
Q

PATRICK TEST aka FABERE sign

A

POSITIVE:

  • Pain in the hip region

INDICATES:

  • Hip joint pathology
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9
Q

LAGUERRE TEST

A

POSITIVE:

  1. Pain in the hip joint
  2. Pain in the sacroiliac joint

INDICATES:

  1. Hip joint pathology
  2. Mechanical problem of the sacroiliac joint
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10
Q

GAENSLEN TEST

A

POSITIVE:

  • Pain on the affected SI joint stressed into extension

INDICATES:

  • General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint
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11
Q

LEWIN - GAENSLEN TEST

A

POSITIVE:

  • Pain on the affected SI joint stressed into extension

INDICATES:

  • General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint
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12
Q

HIBB TEST

A

POSITIVE:

  1. Pain in the hip region
  2. Pain in the buttock/pelvic region

INDICATES:

  1. Hip joint pathology
  2. Sacroiliac joint lesion
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13
Q

OBER TEST

A

POSITIVE:

Affected thgih remains in abduction (Normal biomechanics, the thigh/hip will adduct)

INDICATES:

Contraction of the iliotibial band or tensor fascia lata, (usually secondary to synovitis of the hip, secondary to trauma of the gluteus medius and maximus)

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14
Q

PELVIC ROCK TEST aka ILIAC COMPRESSION TEST

A

POSITIVE:

  • Pain in either sacroiliac joint

INDICATES:

  • Sacroiliac joint lesion
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15
Q

NACHLAS TEST

A

POSITIVE:

  • Pain in the buttock and/or pain in the lumbar region

INDICATES:

  • Sacroiliac joint lesion, or Lumbar pathology
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16
Q

YEOMAN TEST

A

POSITIVE:

  • Pain deep in the SI joint

INDICATES:

  • Sprain of the anterior sacroiliac ligaments
17
Q

ELY SIGN (ELY TEST - CIPRIANO)

A

POSITIVE:

  • Hip on side being tested will flex causing the buttock to raise off the table

INDICATES:

  • Rectus Femoris or hip flexor contracture
18
Q

ELY HEEL TO BUTTOCK TEST (cipriano)

A

POSITIVE:

  1. Inability to raise the thigh
  2. Pain in the anterior thigh
  3. Pain in the lumbar region

INDICATES:

  1. Iliopsoas spasm
  2. Inflammation of lumbar nerve roots
  3. Lumbar nerve root adhesions
19
Q

TRENDELENBURG TEST

A

POSITIVE:

  • High iliac crest on supported side and low crest on side of elevated leg

INDICATES:

  • Weak gluteus medius muscle on the supported side

6 ORTHO (16 decks)

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