Hip

Question 1

The sacrotuberous ligament directly integrates with what muscles

Answer 1

glute max, biceps femoris, lumbar extensors

Question 2

The only muscle that directly attaches to the sacroiliac joint

Answer 2

piriformis

Question 3

Which nerve can cause very unpredictable patterns in the hip area

Answer 3

Sciatic

Question 4

Most common area of hip joint pain

What needs to be considered in regards to pain

Where can pain be referred to from the hip

Answer 4

anterior groin / inguinal line

lumbar spine, SIJ, pelvic floor/ring, abdomen, pregnancy

lumbar spine, knee, pelvic floor

Question 5

The pain provocation tests are

Answer 5

distraction, compression, FABER, thigh thrust

Question 6

Hip extensors

Flexors

Adductors

Abductors

ER

IR

Answer 6

glut max, hamstring, adductor magnus, post glut med, piriformis

ilipsoas, rec fem, sartorius

adductor group

glut med, min, tfl

glut max, sartiorius, quad femoris

TFL, glut med, min

Question 7

Tight hip flexors cause

Answer 7

anterior tilt of pelvis and lordosis of the spine

Question 8

NOT all lateral hip pain is

Answer 8

trochanteric bursitis

Question 9

Characteristics of greater trochanteric bursitis

Pain
Discomfort areas and movements

Answer 9

• deep palpation immediately above or just posterior to greater tro
• discomfort with abduction and lat rot, but NOT med rot
  discomfort in resisted ER

Question 10

Characteristics of gluteal tendinopathy
Pain
Discomfort areas
what is it

Answer 10

• back pain
• local tendon and muscle pain
  may spread down thigh like nerve pain
• tendon disorder in hips and glutes, causing tendon to deteriorate most common in older woman

Question 11

Hip capsular pattern

Answer 11

Limited IR and flexion> Limited ABD

Question 12

femoral anteversion vs retroversion

Answer 12

A: inward twisting of the femoral bone (pigeon toed)
R: outward twisting of the femoral bone

Question 13

Most common sites of avulsion (tearing) injuries

Answer 13

iliac crest
iliac spine
ischium apophysis
lesser trochanter

Question 14

Anterior dislocation of the hip is found in which movement
Posterior?

Answer 14

ER, Flex, ABD

IR, Flex, ADD

Question 15

Characteristics of acetabular labral tears
Pain

Answer 15

Catching pain in ANT hip/groin
Pain pivoting from or arising from chair

Question 16

Characteristics of FAI (femoral acetabular impingement)

Pain
Type of lesion
What is it

Answer 16

Stiff and painful hip
can lead to labral tear
surgery is often the best route
Cam and Pincer lesion
( Cam: resulting from a bony growth at the head of the femur
Pincer: resulting from extra growth in the hip socket
Often happens during childhood development
Combined: cam and pincer are present )

motion- related disorder with symptoms between proximal femur and acetabulum

Question 17

What test begins in hip flexion, abd, and ER and moves passively into extension, adduction and IR

Answer 17

Anterior labral test

Question 18

What test begins in hip flexion add and IR and ends in hip extension, abd, and ER

Answer 18

Posterior labral test

Question 19

Characteristics of labral pathology (5)
test
what is painful
where is painful
what movements are difficult

Answer 19

Scour test is done
IR at 90 degrees of flexion
single leg deep bend is difficult
C sign for hip
-deep discomfort that is mostly anterior groin region and sometimes butt pain

Question 20

Characteristics of FAI (6)
what test is done
what/where is painful
what movements are difficult

Answer 20

combined flex,add,IR
fabers test is done
decreased abd ROM
groin pain with flexion
pain with prolonged sitting
it is hard to get in and out of the car

Question 21

Mechanisms of injury for a stress fracture (4)

Signs/Symptoms (3)

General indications of injury

Answer 21

female gender
amenorrhea
smoking
steroid use

pain in the hip,groin,thigh
pain can refer to the knee
DO NOT IGNORE GROIN PAIN IN A RUNNER

previous injury, muscle imbalance (check both sides for normalcy)

Question 22

Meralgia Paresthetica is?
common causes? (3)

Answer 22

Pain or irritating sensation felt over the anterolateral aspect of the thigh due to injury, compression, or disease of lateral femoral cutaneous nerve

tight clothing, obesity, pregnancy

Question 23

Common sites of bursitis

Answer 23

iliopsoas, greater trochanteric, ischogluteal, obturator internus

Question 24

contusion is?
it is usually a result of?

Answer 24

bruise; place where blood capillaries have been ruptured
usually a result of direct trauma

Question 25

Condition where bone tissue forms within a muscle cause complications

Answer 25

myositis ossificans history of direct blow or trauma decreased ROM

Question 26

Snapping or clicking hip cases include (4)

Answer 26

hip joint (intra-articular) hip joint (extra-articular) pubis sacral iliac joint dysfunction

Question 27

Characteristics of hip impingement syndrome for anteromedial impingement vs anterolateral impingement (3 for both)

Answer 27

AM: groin pain with hip flexion posterior hip during weight bearing tight TFL AL: pain with weight bearing ER of LE in stance short ERs and hamstrings

Question 28

Characteristics of hip impingement syndrome for proximal impingement (4)

Answer 28

-pain percieved as deep, lateral to TFL, or proximal inner thigh -discomfort or stiffness in AM -worsens with activity -short iliopsoas, rec fem, and TFL

Question 29

Pronation of the foot includes what 3 movements Supination

Answer 29

P: calcaneal eversion, abduction, and dorsiflexion (ankle is leaning inward) S: inversion, adduction, plantar flexion (ankle is leaning outward)

Question 30

The purposes of the body needing to PRONATE in order to SUPINATE (3) Pronation is the collapsing of the chain as a result of? What is the key to LE rehab?

Answer 30

-absorb shock in order to propel -load in order to unload -react in order to effectively act -gravity -ground reaction -momentum -controlling pronation!!!!!!! (this avoids deceleration injuries)

Question 31

Pronation vs supination at the knee and hip (3 movements for both)

Answer 31

Pronation of knee: flex, abd, IR Supination of knee: ext, add, ER Pronation of hip: flex, add, IR Supination of hip: ext, abd, ER

Question 32

Pronation succumbs to ______ is dominated by _______ and has _______ Supination overcomes _____ is dominated by ______ and has _______

Answer 32

- succumbs to gravity, dominated by deceleration (eccentric) muscle function, shock absorption -overcomes gravity, is dominated by acceleration (concentric) muscle function, propulsion

Question 33

Friends of the quads? (3) Factors that can increase Q angle? (4)

Answer 33

soleus, butt muscles, abdominals -pronation too long into the gait cycle -excessive LE pronation decreased hip ER strength -decreased hip extension strength

Question 33

For a simple squat what flexes the knee and what flexes the hip? During function, every muscle works together to? (2) What 2 muscles control knee and hip flexion to control pronation?

Answer 33

Gravity -control the forces of gravity -decelerate pronation -quad (at the knee) and hamstring (at the hip)