wk 11- hip msk Flashcards
indications for hip US
- pain
- effusion
- bursitis
- clicking/ locking hip
- developmental hip dysplasia (DDH)
frequency needed for hip evaluation
lower frequency for deep structures (5MHz)
what is evaluated in the supine position
inguinal canal
what is evaluated in the lateral approach
greater trochanteric bursa
what is evaluated in the posterior approach
glueteal and other muscles that attach posterior
hip pain can be cause of
- arthritis
- infection
- trauma
- neoplasm
- effusion
- tears
fluids tend to collect along the ___ which can cause the joint capsule and iliofemoral ligament to lift
femoral neck
complete or partial tears of muscle or tendon common in ___
thigh/ hamstring
what is the largest bursa in the human body measuring 7x4x2cm
iliopsoas/ iliopectinal bursa
2 bursas in the hip that are evaluated
- greater trochanter
- iliopsoas/ iliopectinal
snapping of iliotibial band (fascia lata) or gluet maximus over greater trochanter
external causes of snapping hip syndrome
snapping of iliopsoas tendon over iliopectinal eminence and acetabular tear or an intraarticular loose body
internal causes of snapping hip syndrome
most common cause of snapping hip syndrome
iliotibial band snapping over greater trochanter
snapping hip is commonly sound in ____
ballet dancers and athletes
to evaluate SNS, begin with hip flexed and ___ rotated
externally
___ is the abnormal tendon motion over the greater trochanter
clicking
while imaging hip at level of greater trochanter, hip is extended and ___ rotates until audible click is heard or felt with transducer
internally
distal border of gleut max snaps over greater trochanter during extension
second most common cause of snapping hip syndrome
less frequently ___ causes snapping of iliopsoas tenson over iliopectinal eminence and acetabular labral tear or an intraarticular loose body
internal
SHS may be associated with ___
trochanteric bursitis
t/f: SHS is always painful
false
pain at distal insertion of iliotibial tract to Gerdy’s tuberle
runners knee
runners knee also known as
iliotibial band syndrom
when distal iliotibial fascia rubs constantly over lateral femoral condyle during activity
runners knee
graft classification of infant hips based on ___ and ___ of acetebulum as seen on coronal ultrasound
depth and shape
