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Hip Exam and Treatment
Dr. Brown's Lecture Slides
24
Anatomy
Graduate
11/05/2010

Additional Anatomy Flashcards

 


 

Cards

Term

True or False

 

Chronic hip joint symptoms will never lead to compensatory extra-articular findings.

Definition

FALSE

 

Chronic hip joint symptoms WILL lead to extra-articular findings.

 

Moral of this story:

Always clear joint above and below

Term

 

 

Hilton's Law

Definition

 

States: nerves that supply muscles that move joint also supply sensation to joint

 

Explains why muscle spasms and cutaneous sensations may accompany joint irritation

 

Term

 

 

C-Sign

Definition

 

Hand cupped over greater trochanter with thumb over posterior aspect of trochanter and fingers gripping groin

 

 

*Very characteristic of hip pathology

Term

 

 

ROM Needed to Tie Shoes

Definition

 

 

 

120 degrees flexion

Term

 

 

ROM needed for Sitting

Definition

 

 

112 degrees flexion

Term

 

 

ROM needed to Ascend Stairs

Definition

 

 

67 degrees flexion

Term

 

 

ROM needed to Descend Stairs

Definition

 

 

36 degrees flexion

Term

 

 

ROM needed to Put on Pants

Definition

 

 

90 degrees flexion

Term

 

 

Scour Test Abnormal Finding

and

Causes of Abnormal Finding

Definition

 

 

Resistance found anywhere along the arc

 

Capsular tightness, adhesion, myofascial restriction, loss of joint congruity

 

 

Term

 

 

Two types of FAI

Definition

 

CAM

 

Pincer

Term

 

What are CAM FAIs common with?

Definition

 

 

Post-traumatic deformities, SCFE, Coxa Vara, and AVN

Term

 

 

In what type of FAI is motion limited due to abnormal bone growth/shape on the femur?

Definition

 

 

CAM FAI

Term

 

 

In what type of FAI is abnormal bone growth/shape on the acetabulum?

Definition

 

 

Pincer

Term

 

FAI where acetabulum has too much coverage of the femoral head

Definition

 

 

Pincer

 

*typically exists along cartilage being "pinched" between the rim of the socket and anterior femoral head-neck junction

Term

 

 

What does a positive FABER inidicate?

Definition

 

 

Hip joint may be involved

Iliopsoas spasm

SI Joint involvement

Term

 

 

What does Trendelenburg Sign test?

Definition

 

 

Ability of hip ABductors to stabilize the pelvis on the femur

Term

 

 

Trendelenburg Sign

Definition

 

 

If pelvis drops on the non-WB side, test is considered positive due to probably gluteus medius weakness on the stance (affected) leg

Term

 

 

Three Components of the

Sign of the Buttock

Definition

 

  1. Limited and painful SLR implicating structure that runs posterior to hip or hip itself
  2. Limited and painful hip flex w/ knee flexed indicating involved structure does not spasm from hip to knee (ie hamstrings or sciatic nerve)
  3. Noncapsular pattern indicating arthritic changes are not pathogenic
Term

 

 

Does Sign of the Buttock identify exact pathology?

Definition

 

NO

 

It's a screening tool for serious pathology

Refer back to physician

Term

 

What's a positive on Thomas Test?

Definition

 

Thigh lifts up (iliopsoas)

Knee flexion limited (rectus femoris)

Term

 

 

Hamstring Flexibility Test

What is Normal?

Definition

 

 

Within 20 degrees of full knee extension

Term

 

 

What is the best way to perform a leg length discrepancy test?

Definition

 

 

Radiographically

Term

 

 

True leg length discrepancy

Definition

 

There's an anatomica or structural change in the lower leg such as coxa vara, congenital hip dysplasia, fracture, short tibia, etc.

Term

 

function leg length discrepancy

Definition

 

difference is a compensation for something occurring b/c of positioning in another structure, such as a pronated foot

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