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Pt Assess II Final > Hip Lecture > Flashcards

Flashcards in Hip Lecture Deck (16)
1

Inspection of hip:

-Gait
-Iliac crests equal height

2

What is a pelvic obliquity?

-Unequal iliac crests
-May indicate leg length discrepancy

3

If leg length discrepancy suspected, what do you need to do?

Measure each leg length
-Pt lying down
-Measure from superior iliac spine across medial knee to medial malleolus

4

Bony palpation of hip:

-ASIS
-Iliac crests
-Greater trochanters

5

How can the pt facilitate palpation of the greater trochanter?

Internally rotate leg

6

If you suspect trochanteric bursitis, what can you do to test for it?

-Move leg into abduction and ER with knee flexed
-Sometimes reproduces pain

7

What are the groups of hip muscles?

Posterior extensors
Medial adductors
Lateral adductors
Anterior flexors

8

Which muscles of the hip can be palpated?

Rectus femoris (flexor)
Gluteus medius (abductor)
Hamstrings (extensors)

9

Which muscles are tested with flexion of the hip?

Iliopsoas
Rectus femoris

10

Which muscles are tested with extension of the hip?

Gluteus maximus
Hamstrings

11

Which muscles are tested with adduction of the hip?

Adductors longus, brevis, gracilis

12

Which muscles are tested with abduction of the hip?

Gluteus medius and minimus

13

How is the Thomas test performed?

-Pt lying down, examiner puts hand under lordotic curve of L spine
-Pt brings knee toward chest and holds it
-Examiner should feel curve flatten and contralateral hip should remain on table

14

What does the Thomas test assess?

Determines presence of a flexion contracture of the hip (from loss of hip extension)

15

Which hip is being tested in the Thomas test?

The contralateral hip (should remain on the table)

16

How is the Thomas test used by PT?

Used to determine tightness of hip flexors