4.) Lower Extremity Conditions Flashcards
(52 cards)
Hip posterior glide increases
flexion/IR
Hip anterior glide increases
extension/ER
Open pack position of the hip
flexion 30, abduction 30, slight ER
Ely’s test
hip flexion contracture
-rectus femoris
Ober’s test
IT band tightness
Thomas Test
hip flexor tightness
Faber Test (Patrick Test)
ililiopsoas, SI, or hip joint abnormality
*Differentiates btw gip and back
Hip Scour Test
FAI, implicates hip pathology
(Quadrant Test)
Craig’s Test
femoral anteversion
angle is greater than 8-15 degrees
Retroversion
toe out
Barlow’s Test
Detects developmental dysplasia of the hip
hips begins reduced, examiner dislocates/relocates the hip
Ortolani’s Sign
detects congenital dislocation of the hip
-positive is clunk as the hip relocates onto the acetabulum
Slipped capital femoral epiphysis
SCFE “skippy PB” teenagers
SCFE is the most common
disorder of the hip in adolescents
boys 14
girls 12
SCFE can result in
avascular necrosis of femoral head
What is SCFE
groin/medial thigh pain, dull, aching decreased ROM (esp. IR)
-dx with radiographs
Legg-Calve-Perthes disease
avascular necrosis of the of the femoral head
- 2 to 10 years
- out toing
- limping child problemm
What is the goal of legg-calve-perthes disease?
maintain femur in acetabulum, WBAT, “containment” protocol keeps head in the acetabulum
-achieved with abduction and IR
Hip pointer
trauma to iliac crest (ASIS)
Myositis ossificans
Ossification of contusion
Illiopsoas bursitis
pain/snapping in medial groin, thigh
Arthritis
progressive pain, stiffness, scour test
FAI
anterior groin pain with FADIR test
Knee anterior glide improves
extension