Hip

Question 1

External Rotators

Answer 1

• prirformis (<60 deg)
• gemellus superior/ inferior
• obturator internus/externus
• quadratus femoris
• glute max
• glute med/min (when flexed)

Question 2

Internal Rotators

Answer 2

• Pirformis (at 90deg)
• semitendinosis
• semimembranosus
• adductors
• pectineus
• TFL
• glute med/min (extended)

Question 3

Functional ROM: shoe tying

Answer 3

120 deg flexion

Question 4

Functional ROM: sitting

Answer 4

112 deg flexion

Question 5

Functional ROM: stooping

Answer 5

125 deg flexion

Question 6

Functional ROM: ascending stairs

Answer 6

67deg flexion

Question 7

Functional ROM: squatting

Answer 7

115 deg flexion, 20 deg AB, 20 deg IR

Question 8

Functional ROM: descending stairs

Answer 8

36 deg flexion

Question 9

Functional ROM: putting o pants

Answer 9

90deg flexion

Question 10

Functional ROM: putting foot on on opposite thigh

Answer 10

120 deg flexion, 20 deg AB, 20 deg ER

Question 11

Associated motions Coxa Valga

Answer 11

long ipsilateral limb
posterior pelvic rotation
supinated ST jt
ER lower extemity

Question 12

Compensation motions Coxa Valga

Answer 12

Ipsilateral- excess ST pronation, genur recurvatum, hip/knee flexion, forward pelvis

Contralateral- PF, excess ST supination, lumbar spine rotation

Question 13

Associated motions Coxa Varum

Answer 13

short ipsilateral limb
anterior pelvic rotation
pronated ST jt
IR lower extemity

Question 14

Compensation motions Coxa Varu

Answer 14

Ipsilateral- excess ST supination, PF, backward pelvic rotation, lumbar spine rotation

Contralateral- excess ST pronation, genu recurvatum, hip/knee flexion

Question 15

Profile- Older population

Answer 15

hip osteoarthritis

Question 16

Profile- women

Answer 16

slap lesion, trochanteric bursitis

Question 17

Profile- children

Answer 17

Legg-Calve-Perthes, osteochondritis dissecans

Question 18

Profile- middle aged

Answer 18

AVN

Question 19

Profile- athletes

Answer 19

labral tear, trochanteric bursitis

Question 20

Pain Location: Anterior

Answer 20

Osteoarthritis
Hip flexor muscle tendinitis
Iliopsoas bursitis
Hip fx
Stress fx
Inflammatory arthritis
Acetabular labral tear
AVN femoral head

Question 21

Pain Location: Lateral

Answer 21

GT bursitis
Glute med dysfunction
ITB syndrome

Question 22

Pain Location: Posterior

Answer 22

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

Question 23

Causes/MOI OA

Answer 23

aging process
joint trauma
repetitive abnormal stress
obesity
systemic diseases- RA

Question 24

Rheumatology guideliness for OA

Answer 24

1. Hip pain AND hip IR < 15 deg
   OR
2. Hip pain AND hip IR > 15 deg, pain hip IR, morning stiffness > 60min, age > 50

Question 25

Kellgren Scale

Answer 25

1- possible osteophytes, doubtful narrowing of space 2- definite osteophytes, definite narrowing of joint space 3- moderate multiple osteophytes, narrowing, some sclerosis, possible contour deformity 4- large osteophytes, severe sclerosis, narrowing, definite deformity

Question 26

Tests for labral tear

Answer 26

``` Faber Scour Resisted SLR Flex-Add-IR Femoral-Acetabular Impingement Test ```

Question 27

Objective GTPS

Answer 27

palpation- tender over lateral hip pain provoked with: resisted hip AB and IR, tightness ITB, trendelenburg's

Question 28

Hip Muscular Strain- symptoms (pull or tear)

Answer 28

pain over injured muscle, increased pain with muscle contraction, swelling, loss of strength in muscle Hamstrings- high speed movements (running) Quads- soccer, rugby, football (kicking, jumping, running) Adductors- soccer and hocker (kicking, change in direction)

Question 29

MOI hip muscular strain

Answer 29

``` stretched muscle contracts suddenly overstretching fall or direct blow to muscle overuse inadequate warm up lack of flexibility poor posture ```

Question 30

MOI hip muscular strain

Answer 30

``` stretched muscle contracts suddenly overstretching fall or direct blow to muscle overuse inadequate warm up lack of flexibility poor posture ```

Question 31

Classification hip muscular strain

Answer 31

1- minimal loss muscle strength 2- compromise in strength, not complete loss in function 3- complete loss of strength