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Hip quiz - subjective portion
Hip notes; more focused on theory
56
Health Care
Graduate
11/19/2012

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Term
Hip close packed position
Definition
max ext, IR, abd
Term
Hip capsular pattern
Definition
flex, abd, IR
Term
Coxa valga = incr/decr angle of inclination?
Definition
incr
Term
Coxa vara = incr/decr angle of inclination?
Definition
decr
Term
Normal angle of inclination of head of femur
Definition
125º
Term
Consequences of hip anteversion (6)
Definition
toed-in gait,
incr Q angle,
hyperpronated feet,
incr lumbar lordosis,
incr IR,
weakness of ER mm
Term
Consequences of hip retroversion (5)
Definition
toed-out gait,
decr Q angle,
foot supination,
incr ER,
weakness of IR mm
Term
avg hip flex
Definition
110-120º
Term
avg hip ext
Definition
10-15º
Term
avg hip abd
Definition
30-50º
Term
avg hip add
Definition
30º
Term
avg hip ER
Definition
40-60º
Term
avg hip IR
Definition
30-40º
Term
Hip motion lost with age
Definition
ext
Term
Hip stability produced by (5)
Definition
1. articular configuration (deep acetabulum)
2. vacuum effect of ball/socket
3. thick capsule/ligts
4. balance of hip mm
5. WB >> stability
Term
Attachments of iliofemoral ligt
Definition
AIIS >> intertrochanteric line
(v-shaped)
Term
Attachments of pubofemoral ligt
Definition
iliopubic eminence >> less trochanter
Term
Attachments of ischiofemoral ligt
Definition
inf acetabulum (ischium) >> post femoral neck
Term
Iliofemoral & pubofemoral ligt taut in ___
Definition
ext
Term
Functions of articular cartilage (3)
Definition
decr friction
absorb compressive forces
maintain jt ht >> stability
Term
Hydrodynamic jt lubrication occurs during ____ phase of gait
Definition
swing
Term
Hydroelastic jt lubrication occurs during ____ phase of gait
Definition
stance (begins at heel strike)
Term
Early Stage OA of hip S/Sx: traumatic
Definition
immediate onset of capsular restriction;
pain on motion, spasm endfeel
Term
Early Stage OA of hip S/Sx: atraumatic
Definition
thinning of cartilage; probably not detectable
Term
Early Stage OA of hip: Rx
Definition
Acute: RICE
non-acute: non-WB ROM ex through full ROM
Term
Early Stage OA of hip: histological ∆s
Definition
decr chondrocytes >> decr proteoglycans >> decr water retention >> thinning cartilage
Term
Intermediate Stage OA of hip: histological ∆s
Definition
initially painless;
microtrauma to capsule/ligts 2º to excessive jt play >> fibrotic ∆s in periarticular tissues >> decr ROM >> malnutrition of hyaline cartilage;
"joint mice" appear (loose bodies within jt)
Term
Intermediate Stage OA of hip: S/Sx
Definition
capsular pattern,
capsular endfeel,
c/o giving way & twinges of pain on WB (2º to loose bodies)
Term
Intermediate Stage OA of hip: Rx
Definition
BEST STAGE for PT;
jt mobs,
passive stretching,
exercises to encourage close-packed position
Term
Late Stage OA of hip: histological ∆s
Definition
destruction reaches subchondral bone;
jt mice common;
osteophytes appear;
diminished jt space (2º to hyaline destruction);

osteophytosis >> ankylosing of jt;
jt destruction complete & irreversible
Term
Late Stage OA of hip: S/Sx
Definition
Gross signs of jt capsule swelling;
gross restriction of motion (capsular pattern);
possible bony endfeel
Term
Late Stage OA of hip: Rx
Definition
try to regain jt motion & strength at jts in the same kinetic chain
Term
Items included in eval of OA & THA pt (8)
Definition
PRECAUTIONS,
safety,
gait,
transfers,
AROM/PROM,
strength,
swelling,
pt goals
Term
Items to analyze in gait c AD (for OA & THA pt) (3)
Definition
proper use,
proper fit,
gait pattern
Term
OA & THA pt: Rx (6)
Definition
gait training,
stair training,
transfers,
ROM,
strengthening,
fxnl activities
Term
Common sites of tendonitis in hip (5)
Definition
adductors,
piriformis,
TFL,
glut med,
hip flexors (iliopsoas, rectus fem, sartorius)
Term
Pediatric conditions of hip (2)
Definition
Legg Calve Perthes,
SCFE
Term
Legg Calve Perthes: etiology
Definition
age 2-13,
disruption in blood supply to femoral head,
limp, leg drag, trendelenburg
Term
Legg Calve Perthes: Rx
Definition
maintain femoral head in acetabulum (abd & IR femur)
Term
SCFE: population
Definition
10-17 (boys)
8-15 (girls);
boys>girls
Term
SCFE: appearance
Definition
hold limb fin flex, abd, ER
Term
SCFE: Rx
Definition
surgical fixation
Term
Common mechanisms of labral tears (2)
Definition
young person c twisting injury (usually ER in hyperext position)
older person c hx of hip/acetabular dysplasia OR repeated pivoting/twisting
Term
Most common location for hip labral tears (directional; 2)
Definition
anterior,
anterior superior
Term
S/Sx of hip labral tear (3)
Definition
signs of instability (buckling, twinges, locking, painful clicking);
pain mainly in ant groin;
forced add c rotation >> pain
Term
Hip labral tear: exam findings
Definition
pain at endrange c overpressure;
flex+rotation >> ant groin pain;
confirm c arthrography (MRI c intra-articular contrast medium)
Term
Diagnostic tests fo labral pathology at hip (4)
Definition
passive abd
passive ext
inner quadrant scour
post labrum test
Term
Hip labral tear Rx (5)
Definition
2-4 PWB (20 lb; crutches),
ROM 30-70º >> 0-90º,
EX IN POOL,
progressive mm strengthening,
return to sports 2-3 mos post-op
Term
Types of bursitis in hip (4)
Definition
psoas bursitis,
gluteal bursitis,
ischial bursitis,
trochanteric bursitis
Term
Psoas bursitis S/Sx (3)
Definition
pain in groin;
pain referred along ant thigh to patellar area;
PROM add in flex & ER >> pain
Term
Gluteal bursitis S/Sx (3)
Definition
pain lat to post trochanteric area;
pain referred to outer thigh/leg;
painful on AROM abd
Term
Ischial bursitis S/Sx (2)
Definition
pain in sitting when squeezing;
tenderness at/above ischial tuberosity
Term
Trochanteric bursitis S/Sx (3)
Definition
pain in lat hip;
pain radiates into L5 along lat thigh;
painful stair climbing & sidelying
Term
Trochanteric bursitis diagnostic test
Definition
flex hip fully,
move into add & IR,
compress bursa under glut max
Term
Trochanteric bursitis Rx (5)
Definition
pulsed US
find the cause
activity mod
ionto
strengthening
Term
Rx of articular lesions of hip: early acute phase (4)
Definition
modalities (for pain),
manual therapy,
exercise,
HEP
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