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MSK 1 > Hip Exam > Flashcards

Hip Exam Flashcards

1
Q

Diagnostic Clues in Hip Pain:
Dull, deep, aching

A

Arthritis
Paget Disease

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2
Q

Diagnostic Clues in Hip Pain:
Sharp, intense, sudden, associated w/ weightbearing

A

Fracture

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3
Q

Diagnostic Clues in Hip Pain:
Tingling that Radiates

A

Radiculopathy
spinal stenosis
meralgia paresthetica

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4
Q

Diagnostic Clues in Hip Pain:
Increased pain while sitting with the affected leg crossed

A

Trochanteric Bursitis

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5
Q

Diagnostic Clues in Hip Pain:
Pain at sitting, legs not crossed

A

Ischiogluteal bursitis

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6
Q

Diagnostic Clues in Hip Pain:
Pain after standing, walking

A

Hip Arthrosis

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7
Q

Diagnostic Clues in Hip Pain:
Pain on attempted Weightbearing

A

Occult fracture
Severe Arthrosis

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8
Q

Diagnostic Clues in Hip Pain:
Unremitting, long duration

A

Paget Disease
Metastatic Carcinoma
Severe Arthrosis

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9
Q

Appendicitis Red Flag

A

McBurney’s Point = 1/3 distance between ASIS & Navel

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10
Q

Yellow Flags: Depression has stronger association with hip pain than obesity

A
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11
Q

Visual Analog Scale

A

Hip Arthroscopy

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12
Q

WOMAC

A

OA
-Pain, function & joint stiffness
-higher score = greater disability

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13
Q

HOOS

A

Hip OA
-100 = no symptoms
-0 = extreme symptoms

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14
Q

Harris Hip Functional Scale

A

Rates hips before & after surgery
-excellent reliability

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15
Q

LEFS

A

General LE function
-primarily knee & hip arthroplasties
-80 points = very high function, 0 points = very low function

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16
Q

iHot

A

younger/middle aged athletes with hip pain

17
Q

Red Flag Screen: Legg-Calve Perthes

A
18
Q

Red Flag Screen: Slipped Capital Femoral Epiphysis

A
18
Q

Red Flag Screen: Pelvic & Femoral Neck Stress fractures

A

Patellar-Pubic Percussion Test
Fulcrum Test for Stress Fractures

19
Q

Screening for Intra-articular hip pathology

A

FADIR
IROP
FABER

*can also be special tests

19
Q

Knee Screen to clear knee before proceeding with Hip Exam

A

AROM with OP

20
Q

Hip AROM Normals

A

Flexion = 110-120
Ext = 10-15
ABD = 30-35
ADD = 30
Lateral Rotation (ER) = 40-60
Medial Rotation (IR) = 30-40

21
Q

Hamstring Flexibility Test: 90/90

A

Positive if Knee lacks 10 deg or more of knee extenstion

22
Q

Kendall Test

A

Assesses Rectus Femoris tightness b/c crosses hip & knee

(+) = extension of knee on the side being tested when opposite is flexed

23
Q

Thomas Test (leg supported)

A

assesses Iliopsoas tightness

(+) = straight leg raises off the table and stretch is felt in anterior hip

24
Q

Modified Thomas (leg unsupported)

A

assesses iliopsoas, rectus femoris, & TFL/ITB

extended knee = tight quads/rectus femoris
flexed hip = psoas muscles
abducted hip = TFL/ITB

25
Q

Ober Test

A

assesses the TFL and ITB

(+) = leg fails to lower, thigh remains parallel to table

26
Q

Modified Ober

A

same but with knee extended

(+) = leg remains abducted while patients muscles are relaxed

27
Q

Ely’s

A

assesses rectus femoris tightness in prone

28
Q

Deep Squat Test

A

Patients with FAI demonstrated less squat depth

29
Q

Single Leg Stance

A

Gluteal Tendinopathy
Greater Trochanteric Pain Syndrome

30
Q

Hip Adductor Squeeze Strength Test

A

for Athletic groin pain
Pain Rating after 5 Second Squeeze
0-2 = full participation
3-5 = limit participation
6-10 = stop participation

31
Q

Patellar Pubic Percussion Test

A

affected side has a duller sound
Identifies: periacetabular, iliopubic, ischiopubic ramus fractures and femoral

32
Q

Fulcrum Test

A

for Femoral Stress Fx
(+) pain and/or apprehension

33
Q

FADIR

A

provoke intra-articular hip pathology
most common for FAI or anterior Labral

34
Q

IROP

A

abnormal end feel = + for hip pathology

35
Q

FABER

A

Anterior Groin Pain indicates: iliopsoas pathology, psoas impingement/anterior capsule, or intra-articular pathology

Posterolateral Pain indicates: ischiotrochanteric impingement

Posterior Pain indicates: sacroiliac involvement

MSK 1 (6 decks)

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