03 Hip 1 Flashcards Preview

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Flashcards in 03 Hip 1 Deck (43):
1

Before you go to hip, you must clear

lumbar

2

normal angle of inclination

125˚

3

coxa vara angle

less than 125˚

4

coxa valga angle

more than 125˚

5

normal angle of torsion

8-15˚

6

anteverted hip

angle of torsion greater than 15˚
toeing in

7

retroverted hip

angle of torsion less than 8˚
toeing out

8

3 things to look for with gait

- Trendelenburg gait
- anteverted gait
- retroverted gait

9

capsular pattern of the hip

flexion » abduction » IR

10

hernia

outpouching of the abdominal contents through the abdominal wall or inguinal area

11

femoral triangle
medial » lateral

VAN

12

femoral triangle spells

NAVEL

13

NAVEL stands for

- nerve
- artery
- vein
- empty space
- lymph

14

What is the medial border of the femoral triangle?

adductor longus

15

What is the lateral border of the femoral triangle?

sartorius

16

What is the superior border of the femoral triangle?

inguinal ligament

17

best position to palpate the inguinal ligament

figure 4

18

What are you feeling for on the inguinal ligament

any bulges that may indicate an inguinal hernia

19

What is the longest muscle in the body?

sartorius

20

sartorius actions

- abduction
- ER
- hip flexion
- knee flexion

21

Where does the sartorius run?

ASIS to pes anserine

22

Where is the sartorius the most palpable?

ASIS

23

most commonly involved muscle in groin strains

adductor longus (proximal ⅓ especially)

24

Where is the adductor longus easiest to palpate?

hip abduction

25

Where can you palpate the femoral artery?

halfway between the ASIS and the pubic tubercle on the inguinal ligament

26

Why would you need to palpate the femoral artery?

if you suspect vascular compromise

27

What is directly underneath the femoral artery?

femoral head

28

How do you palpate rectus femoris?

- passively flex the hip
- palpate the area
- tell them to extend the knee

29

Where is the rectus femoris in relation to the sartorius?

just lateral to its origin

30

What is the most common muscular structure involved in anterior snapping hip syndrome?

iliopsoas

31

What is the most common muscular structure involved in lateral snapping hip syndrome?

IT band

32

What is the most common muscular structure involved in posterior snapping hip syndrome?

gluteus maximus (NOT COMMON)

33

What is the most common type of snapping hip?

anterior

34

What are you palpating for on the greater trochanter?

bursitis

35

What are the most prominent symptoms of bursitis?

- swelling, "boggy"
- if it's normal, should just feel like bone

36

"boggy"

fluid-filled

37

glut med/min

What are you palpating for?

- pain
- tenderness
- temperature

38

How do you palpate the glut med better?

- have them abduct
- palpate just superior to the greater trochanter

39

What are you looking for by palpating the ischial tuberosity?

- bursitis (not common)
- proximal insertion of the hamstrings

40

What types of hamstring issues might you have that can be painful and tender to palpation?

- proximal avulsion
- proximal tendonitis
- proximal hamstring strain

41

palpating the glut max

from sacrum/coccyx to femur

42

How to find the location of the sciatic nerve

- find greater trochanter and ischial tuberosity
- runs halfway between these vertically

43

If there is a sciatic nerve problem, where will there likely be tenderness?

on the butt over the sciatic nerve