Hip and Pelvis Flashcards

1
Q

Hip Soft Tissue Palpation

A

Femoral Triangle Borders

  • sartorius
  • adductor longus
  • inguinal ligament

Quadriceps Muscles

  • vastus lateralis
  • vastus medius
  • vastus intermedius
  • rectus femoris

cluneal nerves

(*flip)

greater trochanteric bursa

gluteus medius
gluteus maximus

sciatic nerve

Hamstrings

  • biceps femoris
  • semitendinosus
  • semimembranosus
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2
Q

Hip Bony Palpation

A
Anterior:
ASIS
iliac crest
iliac tubercle
greater trochanter

Posterior:
PSIS
ischial tuberosity
coccyx

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3
Q

Hip and Pelvis ROM

A

Flexion 120°
Extension 30°

ABduction 45°
ADduction 45°

Internal Rotation 45°
External Rotation 45°

Flexion & ADduction
Flexion, ABduction and External Rotation

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4
Q

Leg Length Discrepancy

A

a. ( + ) different measurements in true leg length

a. ( i ) bony abnormality above or below the level of trochanter difference (anatomical short leg)
- - - - - - - - - - - - - - - - - - -
b. ( + ) different measurement in apparent leg length

b. ( i ) pelvic obliquity (tilted pelvis)

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5
Q

Allis Sign

Galeazzi Sign, Pediatric Test

A

a. ( + ) Difference in knee height with one low knee

a. ( i ) Ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
- - - - - - - - - - - - - - - - - - -
b. ( + ) Difference in knee anteriority with an anterior knee

b. ( i ) Ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)

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6
Q

Thomas Test

A

( + ) Lumbar spine maintains lordosis and hip or leg flexes

( i ) Contracture of the hip flexors, iliopsoas

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7
Q

Anvil Test

A

( + ) Localized pain in long bone or hip joint

( i ) Possible fracture of long bones, or hip joint pathology

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8
Q

Patrick Test

FABERE Sign

A

( + ) Pain in the hip region

( i ) Hip joint pathology

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9
Q

Laguerre

A

a. ( + ) Pain in the hip joint

a. ( i ) Hip joint pathology
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the sacroiliac joint

b. ( i ) Mechanical problem of the sacroiliac joint

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10
Q

Gaenslen Test

A

( + ) Pain on the affected sacroiliac joint when stressed into extension

( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint

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11
Q

Lewin-Gaenslen Test

A

( + ) Pain on the affected sacroiliac joint when stressed into extension

( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint

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12
Q

Hibb Test

A

a. ( + ) Pain in the hip region

a. ( i ) Hip joint pathology
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the buttock/pelvic region

b. ( i ) Sacroiliac joint lesion

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13
Q

Pelvic Rock Test

Iliac Compression Test

A

( + ) Pain in either sacroiliac joint

( i ) Sacroiliac joint lesion

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14
Q

Nachlas Test

A

( + ) Pain in the buttock and/or pain in the lumbar region

( i ) Sacroiliac joint lesion, or lumbar pathology

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15
Q

Yeoman Test

A

( + ) Pain deep in the sacroiliac joint

( i ) Sprain of the anterior sacroiliac ligaments

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16
Q

Ely Sign

Ely Test - Cipriano

A

( + ) Hip on side being tested will flex, causing the buttock to raise off the table

( i ) Rectus femoris or hip flexor contracture

17
Q

Ely Heel to Buttock Test

A

a. ( + ) Inability to raise the thigh

a. ( i ) Iliopsoas spasm
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the anterior thigh

b. ( i ) Inflammation of lumbar nerve roots
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the lumbar region

b. ( i ) Lumbar nerve root adhesions

18
Q

Trendelenburg Test

A

( + ) High iliac crest on supported side and low iliac crest on side of elevated leg

( i ) Weak gluteus muscle on the supported side

19
Q

Ober Test

A

( + ) Affected thigh remains in ABduction

( i ) Contraction of the iliotibial band, secondary to synovitis of the hip. or, contraction of the tensor fascia lata, secondary to trauma of the gluteus medius and maximus.