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Ortho II > HIP > Flashcards

HIP Flashcards

1
Q

Osteoarthritis in the hip usually presents in patients older than

A

65

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2
Q

What would be confirmed on an X-Ray

A
  • Osteoarthritis
  • decrease in ROM
  • pain with weight bearing
  • severe pain all the time even @ noc
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3
Q

Is a condition where the blood supply to the femoral head is disrupted causing bone deathe

A

Avascular necrosis

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4
Q

Avascular necrosis occurs @ what age?

A

20 - 30 yo

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5
Q

Avascular necrosis is more dominant in males or females?

A

Male

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6
Q

How does avascular necrosis present?

A

like osteoarthritis with groin pain or a labral tear

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7
Q

Acute hip pain time line

A

3-4 weeks

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8
Q

Subacute hip pain

A

12 weeks

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9
Q

Chronic hip pain anywhere from

A

3 months

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10
Q

Mechanism of injury: falling onto the side of the hip can lead to

A

trochanteric bursitis

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11
Q

MOInjury: falling & landing on knee could jar the hip in the

A

acetabulum, possibly causing a labral tear

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12
Q

What structures, issues are involved regarding the hip?

A

orsteoarthritis, labral tears, greater trochanteric pain syndrome and gluteal strains

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13
Q

Pain involving the hip joint often presents

A

in the groin and length front or medial side of the thigh

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14
Q

From where can pain be referred to lateral or posterior portion of the hip?

A

Lumbar spine

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15
Q

Hip involving muscular or ligament pathology can refer pain to the

A

low back and/or knee

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16
Q

When do you know it is trochanteric bursitis?

A

Point tenderness presenting over the greater trochanter

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17
Q

Involved hip joint refers pain to

A

groin, along anterior or medial thigh

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18
Q

Hip muscle/ligament involved refers pain to

A

low back and/or knee

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19
Q

Lumbar spine involved refers pain to

A

lateral or posterior portion of the hip

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20
Q

What type of pain is necessary to examine?

A

Somatic, Neurogenic?

21
Q

Identify the location of the pain through testing whether the pain is

A

nerve root or trigger point related

22
Q

Also determine through palpation whether _________ are irritated

A

bursa

23
Q

For the pain quality, deep pain in the groin, sometimes pinching sensation tends to be ________ related

A

hip joint pathology

24
Q

For the pain quality, soreness, ache, dull pain, sometimes sharp in the posterior glue can be either _________ or _______ related, test to determine which.

A

muscle or nerve root

25
Q

What is very important to determine regarding low back and/or hip dysfunction?

A

leg length and innominate position

26
Q

innominate

A

having no name

27
Q

innominate position

A

ilium, ischium, pubis on one side

28
Q

Normal degrees of PSIS to ASIS tilt (or PSIS is how many degrees higher than ASIS)

A

Normally 7-15 degrees

or looking at an average of 11 degrees plus/minus 4

29
Q

What 3 types of pelvic disparities are there?

A

1 - anterior pelvic tilt
2 - posterior pelvic tilt
3 - Hip Hike (lateral pelvic tilt)

30
Q

The type of anterior or posterior tilt can be either

A

bilateral or unilateral

31
Q

How can you determine the tilt degrees of the anterior/posterior tilt?

A

Palpating the ASISes w/PT standing

32
Q

How can you determine the tilt degrees of the HIP HIKE?

A

Palpating the ILIUMs w/PT standing

33
Q

3 types of Leg Length disparities

A

1 - Functional
2 - Structural
3 - Environmental

34
Q

Soft tissue change causing Leg Length Disparities are called:

A

Functional changes

35
Q

Boney changes causing Leg Length Disparities are called:

A

Structural changes

36
Q

Running surface, shoes causing Leg Length Disparities are called:

A

Environmental changes

37
Q

What is the third most common cause of running injuries ?

A

Leg length asymmetries …

38
Q

In runners how much of a percentile of injuries are do to Leg Length Asymmetries?

A

60 -90 %

39
Q

What can movements or views can help tell if muscle shortness on one side is contributing to hip problem?

A

view feet, internal or external rotation of hip

40
Q

Which movement at the hip joint is the first restriction to occur in hip disease

A

INTERNAL rotation

41
Q

LOWER CROSS SYNDROME is

A

static

42
Q

What muscles are lengthened and weak in Lower Cross Syndrome?

A

Abdominals, Gluteals

43
Q

What muscles are tight in Lower Cross Syndrome?

A

Iliopsoas
Erector spinae
Hamstrings

44
Q

PSIS and ASIS are located how in Lower Cross Syndrome?

A

PSIS extra high

ASIS extra low

45
Q

LOWER EXTREMITY IMPAIRMENT SYNDROME is

A

functional

46
Q

How is the Lower Extremity Impairment Syndrome defined?

A 
shortened (XS) 
• Erector Spinae 
• Iliopsoas
• Rectus Femoris
lengthened (DEF)
• Abdominals
• Gluten
• Hamstings
47
Q

Palpate for

A 
tenderness
trigger points
muscle spasm
ah shi points
boney abnormalities
48
Q

How should you palpate the Greater Trochanter?

A

From multiple angles

49
Q

What landmarks are important to be palpated assessing the HIP?

A
  • PSIS
  • Iliac Crest
  • SI joint
  • Inguinal Ligament
  • Gluteal Musculature

Ortho II (22 decks)

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