Flashcards in 03 Hip 1 Deck (43):
Before you go to hip, you must clear
normal angle of inclination
coxa vara angle
less than 125˚
coxa valga angle
more than 125˚
normal angle of torsion
angle of torsion greater than 15˚
angle of torsion less than 8˚
3 things to look for with gait
- Trendelenburg gait
- anteverted gait
- retroverted gait
capsular pattern of the hip
flexion » abduction » IR
outpouching of the abdominal contents through the abdominal wall or inguinal area
medial » lateral
femoral triangle spells
NAVEL stands for
- empty space
What is the medial border of the femoral triangle?
What is the lateral border of the femoral triangle?
What is the superior border of the femoral triangle?
best position to palpate the inguinal ligament
What are you feeling for on the inguinal ligament
any bulges that may indicate an inguinal hernia
What is the longest muscle in the body?
- hip flexion
- knee flexion
Where does the sartorius run?
ASIS to pes anserine
Where is the sartorius the most palpable?
most commonly involved muscle in groin strains
adductor longus (proximal ⅓ especially)
Where is the adductor longus easiest to palpate?
Where can you palpate the femoral artery?
halfway between the ASIS and the pubic tubercle on the inguinal ligament
Why would you need to palpate the femoral artery?
if you suspect vascular compromise
What is directly underneath the femoral artery?
How do you palpate rectus femoris?
- passively flex the hip
- palpate the area
- tell them to extend the knee
Where is the rectus femoris in relation to the sartorius?
just lateral to its origin
What is the most common muscular structure involved in anterior snapping hip syndrome?
What is the most common muscular structure involved in lateral snapping hip syndrome?
What is the most common muscular structure involved in posterior snapping hip syndrome?
gluteus maximus (NOT COMMON)
What is the most common type of snapping hip?
What are you palpating for on the greater trochanter?
What are the most prominent symptoms of bursitis?
- swelling, "boggy"
- if it's normal, should just feel like bone
What are you palpating for?
How do you palpate the glut med better?
- have them abduct
- palpate just superior to the greater trochanter
What are you looking for by palpating the ischial tuberosity?
- bursitis (not common)
- proximal insertion of the hamstrings
What types of hamstring issues might you have that can be painful and tender to palpation?
- proximal avulsion
- proximal tendonitis
- proximal hamstring strain
palpating the glut max
from sacrum/coccyx to femur
How to find the location of the sciatic nerve
- find greater trochanter and ischial tuberosity
- runs halfway between these vertically