Hip Pathology and Intervention

Question 1

capsular pattern of the hip

Answer 1

medial rotation, abduction, flexion

Question 2

2 symptoms that must be present to diagnose trochanteric bursitis

Answer 2

aching pain in lateral hip

tenderness of greater trochanter

Question 3

PRICEM acute muscle strain management in first 2-5 days

Answer 3

P Protect, prevent, promote
R Rest
I Ice
C Compression
E Elevation
M Modalities, massage, movement, mobilization

Question 4

innervation of short head of biceps femoris

Answer 4

peroneal division of sciatic nerve

Question 5

innervation of long head of biceps femoris

Answer 5

tibial division of sciatic nerve

Question 6

most commonly injured component of the hamstrings

Answer 6

biceps femoris

Question 7

these type of exercises are good for muscle strain, tendonitis, and tendinosis because it stimulates production of collagen

Answer 7

eccentric loading

Question 8

typical length of rehab process following THA

Answer 8

3-6 months

Question 9

4 stages of THA rehab

Answer 9

1 protection and mobility
2 controlled stability
3 strengthening
4 return to activity

Question 10

type of THA fixation that allows for early weight bearing

Answer 10

cemented

Question 11

type of THA fixation that requires 6 weeks of bone regrowth for safe mobilization

Answer 11

cementless

Question 12

NWB status places more stress across the hip joint than PWB following a THA because of the muscle activity required to keep the leg off of the ground.
True or False

Answer 12

TRUE

Question 13

amount of time required for capsule and connective tissues to heal following THA

Answer 13

6-12 weeks

Question 14

precautions for posterior or posterior lateral THA approach

Answer 14

hip flexion 90
no adduction
no IR

Question 15

THA precautions for anterior or anterior lateral approach

Answer 15

no hip extension or ER

Question 16

precautions for Transtrochanteric or lateral approach for THA

Answer 16

no active abduction

Question 17

contraindications to rehab following a THA

Answer 17

new arrythmia
acute cardiac event
pulmonary embolism
acute change in mental status

Question 18

Wells Clinical Prediction Rules for Likelihood of Deep Vein Thrombosis (DVT)
Score of >2 or = 2

Answer 18

likely DVT

Question 19

Wells Clinical Prediction Rules for Likelihood of Deep Vein Thrombosis (DVT)
score <2

Answer 19

DVT is unlikley

Question 20

hemoptysis

Answer 20

coughing up blood

Question 21

sudden SOB and pain in/around the chest should be a red flag for ____ following THA

Answer 21

pulmonary embolism

Question 22

in order to d/c home from acute care, and pt. should be able to ambulate ____ feet with their AD

Answer 22

100-150ft

Question 23

which has found to result in improved function for patients following THA
PWB or WBAT

Answer 23

WBAT

Question 24

most traumatic hip dislocations are in the _______ direction (85-90%)

Answer 24

posterior

Question 25

reduction of a dislocated hip should occur within ___ to ____ hours to reduce the risk of necrosis of the femoral head.

Answer 25

6-8

Question 26

_________ syndrome results from entrapment of the sciatic nerve by tight tendinous bands near the lateral origin of the hamstrings at the ischial tuberosity.

Answer 26

hamstring

Question 27

Entrapment of the lateral femoral cutaneous nerve of the thigh (L2-3 roots)

Answer 27

meralgia paresthetica

Question 28

use of a __________ cane can be useful in acute and irritable cases of greater trochanteric bursitis

Answer 28

contralateral

Question 29

Iliopsoas syndrome (bursitis or tendonitis) treatment:

Answer 29

hip rotation strengthening program

• med + lat rotation
• *strengthen around the problem area

Question 30

normal Hb levels male + female

Answer 30

male: 14-18
female: 12-16