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MSK II > Hip Assessment > Flashcards

Hip Assessment Flashcards

1
Q

Resting position of the hip?

A

30 flex
30 abd
20 L rot

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2
Q

Lesion of the hip joint is usually immediately perceptible during walking. T or F

A

True

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3
Q

close packed position of the hip

A

extension, medial rotation, abduction

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4
Q

normal degree of anteversion torsion on the femur

A

15 deg

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5
Q

increased anteversion leads to toeing _____

A

In

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6
Q

increased retroversion leads to toeing _____

A

out

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7
Q

normal angel of inclination of femoral neck

A

125 deg

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8
Q

angle of femur inclination <125 deg

A

Coxa vara

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9
Q

angle of femur inclination > 125 deg

A

coxa valga

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10
Q

Coxa vara/valga: decreased leg length, poor abductor length-tension

A

coxa vara

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11
Q

coxa vara/valga: hip in adduction, increased leg length, higher pelvis

A

coxa valga

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12
Q

3 ligaments of acetabulum/hip joint

A

iliofemoral
ischiofemoral
pubofemoral

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13
Q

called the Y ligaments, considered the strongest ligament in the body

A

iliofemoral

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14
Q

all three hip ligaments limit ______ rotation

A

medial

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15
Q 
Forces on the hip x BW:
Standing
one limb stance
walking up stairs
running
A

Standing 0.3 BW
one limb stance 2.5 BW
walking up stairs 3 BW
running 4.5 BW

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16
Q

external snapping hip involves….

A

posterior IT band

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17
Q

internal snapping hip involves….

A

iliopsoas tendon

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18
Q

intra-articular snapping involves….

A

labrum or ligamentum teres

19
Q

A disease that disrupts the replacement of old bone tissue with new bone tissue.

A

Paget’s disease

20
Q

If the hip is affected, the weight is lowered carefully on the affected side and the ______ bends slightly to absorb the shock.

A

knee

21
Q

The length of the step on the _________ side is shorter so that weight can be taken off the leg quickly.

A

unaffected

22
Q

normally, feet angle out ___-____ degrees for better balance (Fick angle)

A

5-10 degrees

23
Q

During hip movement, if the pelvic force-couples are normal, the pelvis and anterior superior iliac spine (ASIS)/posterior superior iliac spine (PSIS) will not move. If they do, it may be an indication of _____________.

A

muscle imbalance

24
Q

normal hip flexion ROM

A

120 deg

25
Q

normal hip ext rom

A

30 deg

26
Q

normal hip abduction ROM

A

45

27
Q

normal hip adduction rom

A

30 deg

28
Q

normal hip IR + ER ROM

A

45

29
Q

during a straight leg raise, weak or reduced activation of the rectus abdominis will result in…

A

anterior pelvic tilt / increased lumbar lordosis

30
Q

Anterior Impingement of the femoral neck against the acetabular rim

A

Femoroacetabular Impingement (FAI)

31
Q

avascular necrosis of the femoral head

A

legg clave perthes disease

32
Q

two types of FAI (Femoroacetabular impingement)

A

Pincer type

Cam type

33
Q

the normal end-feel of all hip motions

A

tissue stretch / firm

34
Q

Clinical Prediction Rule for Hip Osteoarthritis (4 out of 5 variables must be positive)

A 
limited active flexion with lateral pain
active extension causes pain
limited PROM medial Rot < 25 deg
squatting painful
scour test with adduction causes pain
35
Q

usually the first thing limited/painful with hip problems

A

medial rotation

36
Q

Two types of leg length discrepency?

A

True shortening

Functional Shortening

37
Q

TUG - If the patient takes more than __ seconds to complete the task, the test is considered positive as a predictor for falls within 6 months of a hip fracture surgery.

A

24 seconds

38
Q

Sciatic nerve roots

A

L4-S3

39
Q

most commonly injured nerve in the hip region

A

Sciatic nerve (L4-S3)

40
Q

Roots of superior gluteal nerve

A

L4-S1

41
Q

Femoral nerve roots

A

L2-L4

42
Q

obturator nerve roots

A

L2-L4

43
Q

Pistol grip deformity is a form of _____ type FAI

A

cam type

44
Q

normal neutral position of the pelvis location of ASIS + PSIS

A

ASIS slightly lower than PSIS

slight ant. tilt

MSK II (9 decks)

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