Hip

Question 1

What does play a secondary role in stabilizing hip?

Answer 1

acetabular labrum, during lateral rotation while preventing anterior translation

Question 2

weakest of the 3 of the AF joint ligament?

Answer 2

ischiofemoral ligament, helping stabilize the hip in extension

Question 3

what does pubofemoral ligament do?

Answer 3

prevents excessive abduction of the femur and limits extension.

Question 4

AF joint resting, close pack and capsular pattern

Answer 4

30 flexion, 30 abduction, slight lateral rotation

Full extension, medial rotation and abduction

Flexion, abduction, medial rotation

Question 5

what is the name of the ligament attached to the head of femur

Answer 5

ligamentum teres

Question 6

dull, deep, aching hip pain

Answer 6

arthritis, paget disease

Question 7

sharp, intense, sudden, associated with weight bearing

Answer 7

fracture

Question 8

tingling that radiates

Answer 8

radiculopathy, spinal stenosis, meralgia paresthetica

Question 9

Increased pain while sitting with the affected leg crossed

Answer 9

trochanteric bursitis

Question 10

pain at sitting, legs not crossed

Answer 10

Ishiogluteal bursitis

Question 11

pain after standing, walking

Answer 11

Hip arthrosis

Question 12

Pain on attempted weight bearing

Answer 12

occult fracture, severe arthrosis

Question 13

unremitting long duration

Answer 13

paget disease, metastatic carcinoma, severe arthrosis

Question 14

internal snapping of hip

Answer 14

slipping of the iliopsoas tendon over the osseous ridge of the lessoer trochanter or anterior acetabulum or iliofemoral ligament may be riding ovver the femoral head.

Iliopsoas tendon snapping, iliofemoral ligament snapping, hamstring syndrome, iliopsoas bursal/capsular thickening

Question 15

Snapping hip sign test

Answer 15

or extension test
snapping occur at45 degree when flexed hip from flexion moving to extension with abduction and laterally rotation. snap can be palpated anteriorly in the inguinal region

Question 16

external snapping of the hip

Answer 16

tight iliotibial band or gluteus maximus tendon riding over the greater trochanter of the femur. This can be felt more lateral, during hip flexion and extension, especially if the hip is held in medial rotation.

Posterior iliotibial band, anterior gluteus maximus, trochanteric bursitis

Question 17

intra articular snapping

Answer 17

Labral or ligmentum tears, loose bodies, synovial chondromatosis, displaced fractures, capsular instability
normally 20-40 years old, a sharp pain into the groin and anterior thigh especially on pivot movement.

Question 18

trochanteric bursitis

Answer 18

abnormal running mechaics with the feet crossing midline, wide pelvis and genu valgum or running on tracks with no banking

Question 19

CDH stands for

Answer 19

Congenital dislocation of the hip

Question 20

Hip scour test is as known as

Answer 20

quadrant or scouring test, to check irregularity in the movement, apprehension, etc. This also causes impingement of the femoral neck against the acetabular rim and pinches the adductor longus, pectineus, iliopsoas, sartorius, TFL

Question 21

FEBER is AKA

Answer 21

Patrick’s test, Figure 4 test, Jansen’s test. Positive is knee above other knee, indicates iliopsoas spasm, SI joint pathology

Question 22

Anterior Labral Tear test AKA

Answer 22

FADDIR (Flexion, adduction and internal rotation test, anterior apprehension test. Test for anterior-superior impingement syndrome, anterior labial tear, and iliopsoas tendinitis.
+Pain, reproduction of the sx, with or without click or apprehension

Question 23

coxa vera

Answer 23

less than 120 degree

Question 24

coxa valga

Answer 24

more than 135 degree

Question 25

popliteal angle

Answer 25

The angle along the shaft of femur crossing along the shaft of tibia (hamstring tightness). Les than 125 degree, hamstrings were considered to be tight

Question 26

sciatic nerve lesion Sx

Answer 26

high steppage gait with an inability to stand on the heel or toes. Sensory altration in the entire foot except instep and medial malleolus along with mm atrophy.

Question 27

Piriformis sx is called

Answer 27

sign of Pace and Nagel (paoin and weakeness on abduction and lateral rotation of the hip). Burning pain and hyperesthesia may be felt in the sacral and or gluteal region as well as in the sciatic nerve distribution

Question 28

The pain on passive medial rotation of the extended hip is called

Answer 28

Freiberg sign (piriformis)

Question 29

Superior gluteal nerve

Answer 29

L4 to S1 compressed between Piriformis and inferior border of gluteus minimus muscle Acute gluteal pain that increases with ambulation. Hip is often medially rotated and there is weakness of the hip abductors, resulting in a Trendelenburg gait Tenderness may be palpated just lateral to the greater sciatic notch

Question 30

Femoral nerve

Answer 30

L2 to L4 Compressed during childbirth or with anterior dislocation of the femur or may be traumatized during hernia surgery, stripping of varicose veins, hip surgery or fractures not able to flex the thigh on the trunk or extend the knee, deep tendon reflex is lost, wasting of the quad is most evident, sensory loss of medial aspect of distal thigh (anterior femoral cutaneous nerve) and medial aspect of the leg and foot (saphenous nerve)

Question 31

Obturator nerve

Answer 31

L2 to L4 may be compressed as it leaves the pelvis and enters the leg in the obturator tunnel. Injury to the nerve may be caused by pelvic or hip surgery, pregnancy (obstetric palsy) fractures, tumors cause of groin pain in athletes. Adduction, knee flexion (gracilis), lateral rotation (obturator externus) affected. Sensory deficit is small, middle medial part of the thigh, may be from sysmphysis pubis to medial aspect of the knee

Question 32

hip pointer

Answer 32

a strain or contusion of muscles that insert into the crest (athletes)

Question 33

clinical prediction role for hip osteoarthritis

Answer 33

1. limited active hip flexion with lateral hip pain 2. active hip extension causes pain 3. Limited passive hip medial rotation (25% or less) 4. squatting limited and painful 5. scour test with adduction causes lateral hip or groin pain

Question 34

Strongest ligament of the body and what it does

Answer 34

iliofemoral ligament (Y ligament of Bigelow), prevent excessive extension and significant role in stabilizing and maintaining upright posture at the hip while limiting anterior translation.