Osteopathic Testing of the Hip OSCE Flashcards Preview

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Flashcards in Osteopathic Testing of the Hip OSCE Deck (29)
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1

femoral triangle

borders:
-superior: inguinal ligament
-medial: medial border of adductor longus m
-lateral: medial border of sartorius m

contents: NAVeL
-femoral nerve
-femoral artery
-femoral vein
-empty space with lymph (femoral canal)

2

what are the hip flexors?

-sartorius m
-iliopsoas m
-rectus femoris m
-tensor fascia lata m

3

what are the extensors of the hip?

-gluteus maximus m
-biceps femoris m
-semitendinosus m
-semimembranosus m

4

what are the hip abductors?

-gluteus medius m
-gluteus minimus m
-tensor fascia lata m

5

what are the hip adductors?

-adductor longus m
-adductor brevis m
-adductor magnus m

6

ROM for flexion of hip

90 deg with knee extended, 120-135 with knee flexed

7

ROM for extension of hip

15-30 deg

8

ROM for internal rotation of hip

30-40 deg

9

ROM for external rotation of hip

40-60 deg

10

ROM for abduction of hip

45-50 deg

11

ROM for adduction of hip

20-30 deg

12

what muscle and n are you testing for strength testing flexion?

-iliopsoas m
-femoral n

13

what muscle and n are you testing for strength testing extension?

-gluteus maximus m
-inferior gluteal n

14

what muscle and n are you testing for strength testing abduction?

-gluteus medius m
-superior gluteal n

15

what muscle and n are you testing for strength testing adduction?

-adductor longus m
-obturator n

16

what is the grading scale for strength testing?

-grade on a 5/5 cale with 5/5 being normal and 0/5 being no muscle contraction detected

17

what structures are in the hip central compartment?

-labrum
-ligamentum teres
-articular surfaces

18

what structures are in the hip peripheral compartment?

-femoral neck
-synovial lining

19

what structures are in the hip lateral compartment?

-gluteus medius m
-gluteus minimus m
-IT band
-trochanteric bursae

20

what structures are in the hip anterior compartment?

-iliopsoas insertion
-iliopsoas bursae

21

a. Perform the flexion/extension evaluation of the hip joint for somatic dysfunction (prone and supine) and document appropriately.

- Student is standing at side of table facing patient and places patient in a supine position.
- Student assesses passive flexion of the hip joint by blocking linkage and noting 90 degrees
expected
- Student assesses bilaterally.
- Student places patient in prone position and assesses passive extension of the hip joint by
blocking linkage
- Student assess bilaterally
- Student states flexion dysfunction has ease of motion to flexion and restriction to extension
- Student states extension dysfunction has ease of motion to extension and restriction to
flexion.
- Student notes a hip flexion or extension dysfunction would be noted in the objective portion
of the chart noting side of laterality.

22

b. Perform the internal rotation/external rotation evaluation of the hip joint for somatic dysfunction (prone and supine) and document appropriately.

- Student is standing at side of table facing patient and places patient in a supine position with hip and knee at 90 degrees.
- Student places patient in supine or prone position and assesses passive internal rotation of the hip joint by blocking linkage
- Student places patient in supine or prone position and assesses passive external rotation of the hip joint by blocking linkage
- Student states internal rotation dysfunction has ease of motion to internal rotation and restriction to external rotation.
- Student states external rotation dysfunction has ease of motion to external rotation and restriction to internal rotation.
- Student notes a hip internal or external rotation dysfunction would be noted in the objective portion of the chart noting side of laterality.

23

c. Perform the adduction/abduction evaluation of the hip joint for somatic dysfunction (supine) and document appropriately.

- Student is standing at foot of table facing patient and places patient in a supine position with knee extended
- Student assesses passive abduction of the hip joint by blocking linkage.
- Student assesses passive adduction of the hip joint by blocking linkage by lifting the
contralateral lower extremity and sweeping the ipsilateral leg into adduction.
- Student states abduction dysfunction has ease of motion to abduction and restriction to
adduction.
- Student states adduction dysfunction has ease of motion to adduction and restriction to
abduction.
Student notes a hip adduction or abduction dysfunction would be documented in the objective portion of the chart noting side of laterality.

24

grade scale of 0

no contraction

25

grade scale of 1

twitch

26

grade scale of 2

active movement w/o gravity

27

grade scale of 3

active mvmt with gravity

28

grade scale of 4

active movement with gravity and SOME resistance

29

grade scale of 5

active movement with gravity and full resistance, no fatigue