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PCM > Hip Competency > Flashcards

Hip Competency Flashcards

1
Q

HIP - What is the ROM for:

Flexion (knee straight)

A

90

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2
Q

HIP - What is the ROM for:

Flexion (knee flexed)

A

120-135

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3
Q

HIP - What is the ROM for:

Extension

A

15-30

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4
Q

HIP - What is the ROM for:

Internal Rotation

A

30-40

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5
Q

HIP - What is the ROM for:

External Rotation

A

40-60

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6
Q

HIP - What is the ROM for:

Adduction

A

20-30

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7
Q

HIP - What is the ROM for:

Abduction

A

45-50

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8
Q

What are the two reflexes to test and what are their nerve roots?

A

Patellar - L4

Achilles - S1

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9
Q

What do you say when you do the muscle strength and when are you testing this?

A

5/5

all ranges of motion

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10
Q

Dermatomes for kneecap?

A

L3/L4, mostly L4 though

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11
Q

Where is L2?

A

highest part of thigh going lateral to medial

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12
Q

Where is L3?

A

below L2 and again towards medial thigh, doesn’t quite get to the patella

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13
Q

where is L4?

A

lower than L3, goes across leg but with patella and goes down medial leg

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14
Q

L5?

A

Below L4, more anterior leg and medial foot

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15
Q

S1?

A

posterolateral thigh and leg, comes forward to do part of the lateral leg and all of lateral dorsal foot

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16
Q

S2?

A

Posteromedial thigh and leg, also plantar lateral foot

17
Q

What is capillary refill?

A

Hold their digits between thumb and index until blanching. let go and wait. 2 seconds or less is normal. above that could be hypothermia or occlusion of arteries

18
Q

What pulses are you going to say and maybe do?

A

femoral
posterior tibial
dorsalis pedis

19
Q

what is the log roll?

A

• Roll the patient’s leg into internal and external rotation.
• (+) Test: Pain
• Indicates: Central or peripheral compartment
pathology

20
Q

C Sign?

A
  • Patient characteristically points to the source of pain with two fingers or cups just above the trochanter with the thumb and index finger
  • Indicates: Labral pathology
21
Q

Labral Loading?

A
  • Flex the patient’s knee and hip to 90 °, load into the femur towards the innominate
  • (+) Test: pain
  • Indicates: Labral or cartilaginous pathology
22
Q

Labral Distraction

A
  • Distract patient’s femur away from innominate
  • (+) Test: Improvement of pain
  • Indicates: Labral or cartilaginous pathology
23
Q

Scour test?

A
  • Flex and externally rotate patient’s hip. Load into socket and articulate through annular range of motion.
  • (+) Test: Pain
  • Indicates: Labral or articular cartilage pathology
24
Q

Apprehension: Faber?

A
  • Patient’s hip is flexed, abducted and externally rotated. Physician induces further external rotation by applying a posterior force at the knee.
  • (+) Test= anterior subluxation of hip or apprehension/pain
  • Indicates: Labral pathology. Can also be positive with impingement.
25
Q

Rectus femoris test?

A
  • Patient supine. One hip is flexed up to the chest. The other leg is bent over the edge of the table.
  • (+) Test: knee flexion < 90°
  • Indicates: Rectus Femoris contraction
26
Q

Thomas Test?

A
  • Patient supine and pulls knees to chest. One leg is lowered to the table to test the flexibility of the hip flexors.
  • (+) Test: Inability to fully extend, or extended leg raises off table
  • Indicates: Hip flexor contraction
27
Q

Jump Sign?

A
  • Patient seated. Pressure is applied to greater trochanter
  • (+) Test: patient withdraws or “jumps” with pressure
  • Indicates: Trochanteric Bursitis
28
Q

Straight leg raise test

A

• Patient supine. Passively flex patient’s ipsilateral hip with knee extended
• (+) Test: Pain over lateral leg, especially at >15 ̊
• Indicates: IT band contracture
o Positivesignsusuallyoccurbetween30-60 ̊if cause is lumbosacral radiculopathy and/or sciatic neuropathy
o Positive signs at >70 ̊ is more likely mechanical low back pain due to muscle strain or joint disease.

29
Q

Piriformis Test

A
  • Patient supine with hip and knee flexed, one ankle crossed over contralateral knee. Patient abducts against resistance.
  • (+) Test: Pain over posterior aspect of greater trochanter
  • Indicates: Piriformis spasm or pathology

THIS IS PAIN IN THE GLUTEAL REGION, PATRICK FABER IS WEAKNESS IN GLUTEUS MEDIUS

30
Q

Patrick Faber 2/3 and 3/3?

A

2/3 is

  • Patient’s hip is flexed, abducted, and externally rotated. Physician braces contralateral ASIS, patient externally rotates/abducts against resistance.
  • (+) Test: Pain or weakness
  • Indicates: Gluteus medius pathology

3/3 is

  • Patient’s hip is flexed, abducted, and externally rotated. Physician braces contralateral ASIS. Patient internally rotates/adducts against resistance.
  • (+) Test: anterior or medial groin pain/weakness
  • Indicates: Iliopsoas insufficiency or pathology

PCM (8 decks)

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