Hip

Question 1

External rotators

Answer 1

Piriformis (less than 60deg)
Superior/inferior gemellus
Obturator internus/externus
Quadratus femoris
Glut max
Glut med and min (flexed)

Question 2

External rotators

Answer 2

Piriformis (less than 60deg)
Superior/inferior gemellus
Obturator internus/externus
Quadratus femoris
Glut max
Glut med and min (flexed)

Question 3

Internal rotators

Answer 3

Piriformis (at 90deg)
Semitendi/membranosus
Adductors
Pectineus
TFL
Glut med and min (extended)

Question 4

AROM

1. Flexion 2. Extension 3. Abduction 4. Adduction 5. ER 6. IR

Answer 4

1. 110-120
2. 10-15
3. 30-50
4. 30
5. 40-60
6. 30-40

Question 5

Coxa Valga

Answer 5

> 125deg
Increased JRF
Mechanical disadvantage

Question 6

Coxa Vara

Question 7

Anteversion

Answer 7

Normal 8-15deg

Question 8

Excessive anteversion

Retroversion

Answer 8

Increased IR

Increased ER

Question 9

Anterior hip pain diagnoses

Answer 9

OA
Hip flexor strain/tendonitis
Iliopsoas bursitis
Proximal hip fracture
Stress fracture
Inflammatory arthritis
Labral tear
Avascular necrosis

Question 10

OA

Answer 10

Gradual onset, IR limitation, abnormal FABER test

Question 11

Hip flexor strain/tendonitis

Answer 11

Overuse, tenderness of muscle/tendon

Question 12

Iliopsoas bursitis

Answer 12

Snapping sensation, tenderness over femoral triangle

Question 13

Proximal hip fracture

Answer 13

Fall or trauma, limb is ER/abd/shortened, pain with any movement

Question 14

Inflammatory arthritis

Answer 14

Morning stiffness, pain with PROM

Question 15

Labral tear

Answer 15

Sharp groin pain relieved with hip extension, deep clicking

Question 16

Lateral hip pain diagnoses

Answer 16

Greater trochanteric bursitis
Glut med dysfunction
IT band syndrome

Question 17

Greater trochanteric bursitis

Answer 17

Insidious onset, tenderness over greater trochanter

Question 18

Glut med dysfunction

Answer 18

Pain with resisted abduction, positive Trendelenburg

Question 19

IT band syndrome

Answer 19

Lateral hip pain/snapping with walking, jogging

Positive Ober’s

Question 20

Posterior hip pain diagnoses

Answer 20

Referred pain from lumbar spine
SI joint dysfunction
Hip extensor or rotator muscle strain

Question 21

OA definition

Answer 21

Progressive joint disease resulting in degenerative changes of articular cartilage, capsular fibrosis, osteophyte formation

Question 22

OA MOI

Answer 22

Aging, joint trauma, repetitive stress, obesity

Question 23

Hip OA guidelines

Answer 23

1. Hip pain AND IR 15 AND pain with IR AND morning stiffness 50

Question 24

Minimal joint space for OA

Question 25

Kellgren & Lawrence Scale

Answer 25

Grade 1: doubtful narrowing Grade 2: definite osteophytes, definite narrowing Grade 3: moderate osteophytes, definite narrowing, some sclerosis Grade4: large osteophytes, marked narrowing, severe sclerosis, definite bone deformity

Question 26

Internal rotators

Answer 26

``` Piriformis (at 90deg) Semitendi/membranosus Adductors Pectineus TFL Glut med and min (extended) ```

Question 27

AROM | 1. Flexion 2. Extension 3. Abduction 4. Adduction 5. ER 6. IR

Answer 27

1. 110-120 2. 10-15 3. 30-50 4. 30 5. 40-60 6. 30-40

Question 28

Coxa Valga

Answer 28

>125deg Increased JRF Mechanical disadvantage

Question 29

Anteversion

Answer 29

Normal 8-15deg

Question 30

Excessive anteversion | Retroversion

Answer 30

Increased IR | Increased ER

Question 31

Anterior hip pain diagnoses

Answer 31

``` OA Hip flexor strain/tendonitis Iliopsoas bursitis Proximal hip fracture Stress fracture Inflammatory arthritis Labral tear Avascular necrosis ```

Question 32

OA

Answer 32

Gradual onset, IR limitation, abnormal FABER test

Question 33

Hip flexor strain/tendonitis

Answer 33

Overuse, tenderness of muscle/tendon

Question 34

Iliopsoas bursitis

Answer 34

Snapping sensation, tenderness over femoral triangle

Question 35

Proximal hip fracture

Answer 35

Fall or trauma, limb is ER/abd/shortened, pain with any movement

Question 36

Inflammatory arthritis

Answer 36

Morning stiffness, pain with PROM

Question 37

Labral tear

Answer 37

Sharp groin pain relieved with hip extension, deep clicking

Question 38

Lateral hip pain diagnoses

Answer 38

Greater trochanteric bursitis Glut med dysfunction IT band syndrome

Question 39

Greater trochanteric bursitis

Answer 39

Insidious onset, tenderness over greater trochanter

Question 40

Glut med dysfunction

Answer 40

Pain with resisted abduction, positive Trendelenburg

Question 41

IT band syndrome

Answer 41

Lateral hip pain/snapping with walking, jogging | Positive Ober's

Question 42

Posterior hip pain diagnoses

Answer 42

Referred pain from lumbar spine SI joint dysfunction Hip extensor or rotator muscle strain

Question 43

OA definition

Answer 43

Progressive joint disease resulting in degenerative changes of articular cartilage, capsular fibrosis, osteophyte formation

Question 44

OA MOI

Answer 44

Aging, joint trauma, repetitive stress, obesity

Question 45

Hip OA guidelines

Answer 45

1. Hip pain AND IR 15 AND pain with IR AND morning stiffness 50

Question 46

Minimal joint space for OA

Question 47

Kellgren & Lawrence Scale

Answer 47

Grade 1: doubtful narrowing Grade 2: definite osteophytes, definite narrowing Grade 3: moderate osteophytes, definite narrowing, some sclerosis Grade4: large osteophytes, marked narrowing, severe sclerosis, definite bone deformity