Week 3- Hip Flashcards
Which muscles flex the hip?
Iliopsoas
Rectus Femoris
Sartorius
Pectineus
Which muscle extend the hip?
Gluteus Maxmius
Hamstrings
Which muscles adduct the hip
Adductor magnus Adductor longus adductor brevis Gracilis Pectineus
Which muscles abduct the hip
TFL
Glute Max, Med, Min
Which muscles medially rotate the hip
gluteus med, min
psoas major
iliacus
Which muscles laterally rotate hip
Glute Max Piriformis Obturator internus/externus gamellus superior/inferior quadratus femoris
List 5 Hip and pelvis injuries
Femoral neck stress fractures Legg-‐Calvé-‐Perthes disease Slipped capital femoral epiphysis Acetabular labral tears Bursitis Snapping hip syndrome avulsion fractures about the hip public ramus stress fracture osteitis pubis
Prevalence of femoral neck fractures
endurance athletes
Associated risk factors for femoral neck fractures
training errors
inadequate footwear
poor shock absorption
coxa vera
Symptoms of FNSF
Hip/groin/thigh pain/ache
Relieved with activity cessation
Night time pain if chronic
FNSF signs
antalgic gait limitation in ROM (esp. hip internal rotation) Axial compression (hop test)
Prevalence of Legg-Calve-Perthes disease
children aged 4-8
Cause of Legg-Calve-Perthes disease
disruption of blood supply to the head of femur
Legg-Calve-Perthes disease symptoms
pain in groin, anterior thigh/knee
worsens with activity
relieved with rest
LCP signs
painful limp worsens with activity
decreased hip ROM esp, int rot
chornic - flexion/adduction contraction
LCP confirmation
irregular femoral head
increased density epiphysis
Slipped capital femoral epiphysis prevalence
10-15yo M
What is a slipped capital femoral epiphysis
a posterior inferior slip of the femoral head
Signs and symptoms of slipped capital femoral epiphysis
Insideous hip/groin/knee pain
limitation of ROM
Psoas spasm
antalgic gait Trendelenburg gait
MOI ALT
twisting/rotating
running/falling
Symptoms ALT
unilateral groin pain
+- anterior thigh
+_low back
occasional clunk
ALT signs
+fabers
+hip quadrant
snapping with int ext rotation