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Hip Flashcards

(113 cards)

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1
Q

Define Athletic Pubalgia

A

A tear in the muscles of the lower abdomen.

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2
Q

What is the etiology of Athletic Pubalgia?

A
  1. Repetitive twisting and turning at high speed
  2. tight or strong hip flexor muscles tilt the pelvis forward and stretch the lower abdominal wall muscles, eventually leading to small tears in the muscles and tissues
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3
Q

Who is most at risk for Athletic Pubalgia?

A

Men, athletes who play soccer, ice hockey, field hockey, rugby, tennis, or run track

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4
Q

Signs and symptoms of athletic pubalgia?

A
  1. one-sided lower abdominal pain
  2. radiating pain to adductors/groin
  3. pain usually worse with sudden movements
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5
Q

Diagnosis of A.Pubalgia

A

MRI/CT, Good history for MOI

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6
Q

How to prevent sports hernia?

A

proper stretching/strengthening

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7
Q

Treatment for Athletic Pubalgia includes:

A

Rest until it feels better, surgery (using mesh implant), modalities.

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8
Q

What psychological interventions can be used?

A

Positive self talk, encouragement, involvement, mental imagery, being sensitive

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9
Q

When to return to play

A

once cleared by surgeon/PT/ATC if surgical option taken. ATC/PT if rehab option taken (typically 2-8 weeks)

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10
Q

How does a “sports hernia” differ from that of a typical hernia?

A

Sports hernia=tearin abdominal muscles.

Typical hernia=protrusion of a tissue or muscle through an opening.

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11
Q

Adductor Brevis

A

Action - ADDuction & INTernal Rotation

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12
Q

Adductor Longus

A

Action - ADDuction & INTernal Rotation

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13
Q

Adductor Magnus

A

Action - ADDuction & INTernal Rotation

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14
Q

Biceps Femoris

A

Action - Hip EXTension & EXTernal Rotation

Knee Flexion & Tibial EXTernal Rotation

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15
Q

Gemellus Inferior

A

Action - EXTernal Rotation

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16
Q

Gemellus Superior

A

Action - EXTernal Rotation

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17
Q

Gluteus Maximus

A

Action - EXTension, EXTernal Rotation, & ADDuction

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18
Q

Gluteus Medius

A

Action - ABDuction

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19
Q

Gluteus Minimus

A

Action - ABDuction, INTernal Rotation, & Flexion

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20
Q

Gracilis

A

Action - ADDuction & knee Flexion

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21
Q

Illiacus

A

Action - Flexion

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22
Q

Obturator Externus

A

Action - EXTernal Rotation

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23
Q

Obturator Internus

A

Action - EXTernal Rotation

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24
Q

Pectinus

A

Action - ADDuction

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25
Piriformis
Action - EXTernal Rotation
26
Psoas Major and Minor
Action - Flexion
27
Quadratus Femoris
Action - EXTernal Rotation
28
Rectus Femoris
Action - Hip Flexion and Knee EXTension
29
Sartorius
Action -Hip Flexion, ABDuction, EXTernal Rotation | Knee Flexion & INTernal Tibial Rotation
30
Semimembranosus
Action - EXTension, INTernal Rotation | Knee Flexion & INTernal Tibial Rotation
31
Semitendinosus
Action - EXTension, INTernal Rotation | Knee Flexion & INTernal Tibial Rotation
32
Tensor Fasciae Latae
Action - Flexion, INTernal Rotation, ABDuction
33
Adductor Brevis
ORIGIN - Pubic Ramus | INSERTION - Pectineal line & Medial lip of line aspera
34
Adductor Longus
ORIGIN - Pubic symphysis | INSERTION - Middle 1/3 of medial line aspera
35
Adductor Magnus
ORIGIN - Inferior pubic ramus, ramus of ischium, & ischial tuberosity INSERTION - Spans from gluteal tuberosity to the adductor tubercle of the medial femoral condyle
36
Biceps Femoris
ORIGIN - Long Head: Ischial tuberosity & sacrotuberous ligament. Short Head: Lateral hip of linea aspera & upper 2/3 of supracondylar line. INSERTION - Lateral fibular head & lateral tibial condyle
37
Gemellus Inferior
ORIGIN - Ischial tuberosity | INSERTION - Greater trochanter of femur via the obturator interns tendon
38
Gemellus Superior
ORIGIN - Spine of ischium | INSERTION - Greater trochanter of femur via obturartor internus tendon
39
Gluteus Maximus
ORIGIN - Posterior gluteal line, sacrum, & coccyx | INSERTION - Gluteal tuberosity of femur
40
Gluteus Medius
ORIGIN - EXTernal surface of superior ilium, anterior gluteal line, & gluteal aponeurosis INSERTION - Greater trochanter of femur
41
Gluteus Minimus
ORIGIN - Lower portion of ilium & greater sciatic notch | INSERTION - Greater trochanter of femur
42
Gracilis
ORIGIN - Pubis symphysis & inferior pubic ramus | INSERTION - Medial tibial flare
43
Illiacus
ORIGIN - Superior surface of iliac fossa, internal iliac crest, & sacral ala INSERTION - Lateral to the psoas major, distal to the lesser trochanter
44
Obturator Externus
ORIGIN - Pubic ramus | INSERTION - Trochanteric fossa of femur
45
Obturator Interus
ORIGIN - Obturator membrane, obturator foramen, & pelvic surface of ischium INSERTION - Greater trochanter of femur
46
Pectinus
ORIGIN - Superior pubic symphysis | INSERTION - Pectineal line of femur
47
Piriformis
ORIGIN - Pelvic surface of sacrum & rim of greater sciatic foramen INSERTION - Greater trochanter of femur
48
Psoas Major and Minor
ORIGIN - Transverse process of T12 and all lumbar vertebrae | INSERTION - Lesser trochanter of femur
49
Quadratus Femoris
ORIGIN - Tuberosity of ischium | INSERTION - Intertrochanteric crest of femur
50
Rectus Femoris
ORIGIN - AIIS & grove located superior to the acetabulum | INSERTION - Tibial tuberosity
51
Sartorius
ORIGIN - ASIS | INSERTION - Anteromedial tibial flare
52
Semimembranosus
ORIGIN - Ischial tuberosity | INSERTION - Postermedial portion of the medial condyle of the tibia
53
Semitendinosus
ORIGIN - Ischial tuberosity | INSERTION - Medial portion of the tibial flare
54
Tensor Fasciae Latae
ORIGIN - ASIS & external lip of the iliac crest | INSERTION - Iliotibial tract
55
Three reasons the hip is the strongest and most stable joint in the body?
1. sturdy bony alignment 2. ligamentous arrangement 3. dynamic muscular support
56
What are the two bony prominences in the hip?
1. ASIS 2. Ischial tuberosity * **A 3rd can almost be - greater trochanter
57
Where is the labrum thickest?
Superiorly
58
How much does the labrum deepen the acetabulum?
21%
59
What are the three hip joints?
1. Pubic symphysis 2. Sacroiliac (SI) joint 3. Coxofemoral joint
60
What does the pubic synthesis allow?
A small amount of distraction/compression & rotation
61
What type of joint is the sacroiliac joint?
A combination of synovial and syndesmotic joints
62
What type of joint is the coxofemoral joint?
Ball and socket
63
What motions does the coxofemoral joint allow?
Flexion/EXTension, ABDuction/ADDuction, INTernal/EXTernal Rotation
64
Name the five hip ligaments | Is Pussy Irritated Longtime or Instantly
1. illiofemoral ligament 2. Pubofemoral ligament 3. Ischiofemoral ligament 4. Ligamentum teres 5. Inguinal ligament
65
Limits hip extension
Ischiofemoral ligament
66
Ramus to femur limits ABDuction & hyperextension of the hip
Pubofemoral ligament
67
Reinforces anterior joint capsule, limiting hip extension
illiofemoral ligament
68
ASIS to pubic symphysis contains soft tissues in trunk/LE
Inguinal Ligament
69
Name the only ligament that doesn't limit hip extention
Ligamentum Teres
70
How much of the body's weight is transferred through the hip while standing?
3-4x's
71
How much of the body's weight is transferred through the hip while jogging?
8x's
72
Name the three phases of walking/running
Swing phase Deceleration phase Propulsion phase
73
What muscles are involved in the swing phase?
Rectus femoral and illiopsoas
74
What muscles are involved in the deceleration phase?
Hamstrings (extend hip/decelerated the knee)
75
What muscles are involved in the propulsion phase?
Rectus femoral and illiopsoas (flexed hip/extended knee)
76
Hip ADDuctors (ADDuct/INTernally Rotate)
Gracilis, Adductor Magnus, Adductor Longus, Adductor Brevis, & Pectineous
77
Hip ABDuctors
Gluteus Minimus and Tensor Fasciae Latae (TFL)
78
Muscles that are crucial in controlling hip internal rotation in loading and midstance gait
Intrinsic muscles of the hip
79
What forms the inguinal triangle?
1. Inguinal ligament 2. Sartorius 3. Adductor Longus
80
Why is the femoral triangle important?
Femoral nerve, artery, & vein run throughout this region. Palpation of pulse and lymph nodes.
81
Name 4 bursae of the hip | The Glut Is Icky
1) Trochantric Bursae 2) Gluetofemoral Bursae 3) Ischial Bursae 4) Illiopsoas Bursae
82
What is the largest bursae in the body?
Illiopsoas Bursae
83
Weight bearing structures when seated?
Ischial Bursae
84
Lubricates gluteus maximus, glides over greater trochanter
Trochantric Bursae
85
T-12 through L4 hip flexors and knee extensors
Lumbar plexus
86
L4-S4 rest of lower quadrant screen
Sacral Plexus
87
Primary blood source to the femoral head?
Medial femoral circumflex artery
88
What is an intelligent history of the hip question?
1) congenital history 2) steroid use/ alcohol abuse 3) menstrual history
89
congenital history
Legg-calve perches disease | Slipped capital femoral epiphysis
90
deep hip pain, where should you be looking?
coxofemoral joint OR referred from lumbar spine, SI joint
91
Pain in pubic region
ADDuctor strain/hip Flexor strain
92
pain in the posterior aspect of greater trochanter
greater trochantric bursitis
93
pain with coughing or bearing down
Hernia
94
Bonnet's posistion
loose packed hip flexion, ABDuction and EXTernal rotation
95
infection over posterior aspect of median sacral crest, presents a red swelling/lump in the gluteal crease
pilonidal cyst
96
shortened swing phase
hamstring (extend hip/decelerated the knee)
97
lateral hip pain
gluteus medious
98
posterior hip pain
gluteus maximus OR hamstrings
99
three types of stress fracture
compression, tension, displaced
100
sports hernia
athletic pubalgia
101
hamstring/quad strength ratio
2/3
102
special tests
1) thomas test 2) Ely's test 3) Scour test 4) Trendlenburg test 5) Valsalva test
103
Hip flexor tightness/rectus femoris contracture
Thomas test
104
What tests for hip flexor tightness
Ely's test
105
What test detects articular surface defects and/or labral tears of the hip
Scour test
106
What tests for gluteus medius weakness
Trendelenburg test
107
What test rule out hernia
Valsalva test
108
Hip Flexion ROM
0-120
109
Hip extension ROM
0-30
110
Hip INTernal rotation ROM
0-45
111
Hip EXTernal rotation ROM
0-45
112
Hip ABDuction ROM
0-45
113
Hip ADDuction ROM
0-30

Lower Eval (7 decks)

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