Hip Assessment

Question 1

Resting position of the hip?

Answer 1

30 flex
30 abd
20 L rot

Question 2

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

Answer 2

True

Question 3

close packed position of the hip

Answer 3

extension, medial rotation, abduction

Question 4

normal degree of anteversion torsion on the femur

Answer 4

15 deg

Question 5

increased anteversion leads to toeing _____

Answer 5

In

Question 6

increased retroversion leads to toeing _____

Answer 6

out

Question 7

normal angel of inclination of femoral neck

Answer 7

125 deg

Question 8

angle of femur inclination <125 deg

Answer 8

Coxa vara

Question 9

angle of femur inclination > 125 deg

Answer 9

coxa valga

Question 10

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

Answer 10

coxa vara

Question 11

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

Answer 11

coxa valga

Question 12

3 ligaments of acetabulum/hip joint

Answer 12

iliofemoral
ischiofemoral
pubofemoral

Question 13

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

Answer 13

iliofemoral

Question 14

all three hip ligaments limit ______ rotation

Answer 14

medial

Question 15

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

Answer 15

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

Question 16

external snapping hip involves….

Answer 16

posterior IT band

Question 17

internal snapping hip involves….

Answer 17

iliopsoas tendon

Question 18

intra-articular snapping involves….

Answer 18

labrum or ligamentum teres

Question 19

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

Answer 19

Paget’s disease

Question 20

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

Answer 20

knee

Question 21

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

Answer 21

unaffected

Question 22

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

Answer 22

5-10 degrees

Question 23

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 _____________.

Answer 23

muscle imbalance

Question 24

normal hip flexion ROM

Answer 24

120 deg

Question 25

normal hip ext rom

Answer 25

30 deg

Question 26

normal hip abduction ROM

Answer 26

45

Question 27

normal hip adduction rom

Answer 27

30 deg

Question 28

normal hip IR + ER ROM

Answer 28

45

Question 29

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

Answer 29

anterior pelvic tilt / increased lumbar lordosis

Question 30

Anterior Impingement of the femoral neck against the acetabular rim

Answer 30

Femoroacetabular Impingement (FAI)

Question 31

avascular necrosis of the femoral head

Answer 31

legg clave perthes disease

Question 32

two types of FAI (Femoroacetabular impingement)

Answer 32

Pincer type | Cam type

Question 33

the normal end-feel of all hip motions

Answer 33

tissue stretch / firm

Question 34

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

Answer 34

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

Question 35

usually the first thing limited/painful with hip problems

Answer 35

medial rotation

Question 36

Two types of leg length discrepency?

Answer 36

True shortening | Functional Shortening

Question 37

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.

Answer 37

24 seconds

Question 38

Sciatic nerve roots

Answer 38

L4-S3

Question 39

most commonly injured nerve in the hip region

Answer 39

Sciatic nerve (L4-S3)

Question 40

Roots of superior gluteal nerve

Answer 40

L4-S1

Question 41

Femoral nerve roots

Answer 41

L2-L4

Question 42

obturator nerve roots

Answer 42

L2-L4

Question 43

Pistol grip deformity is a form of _____ type FAI

Answer 43

cam type

Question 44

normal neutral position of the pelvis location of ASIS + PSIS

Answer 44

ASIS slightly lower than PSIS | slight ant. tilt