Osteopathic Testing of the Hip OSCE Flashcards Preview

Osteopathic Skills--Lexie > Osteopathic Testing of the Hip OSCE > Flashcards

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

femoral triangle

A

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
Q

what are the hip flexors?

A
  • sartorius m
  • iliopsoas m
  • rectus femoris m
  • tensor fascia lata m
3
Q

what are the extensors of the hip?

A
  • gluteus maximus m
  • biceps femoris m
  • semitendinosus m
  • semimembranosus m
4
Q

what are the hip abductors?

A
  • gluteus medius m
  • gluteus minimus m
  • tensor fascia lata m
5
Q

what are the hip adductors?

A
  • adductor longus m
  • adductor brevis m
  • adductor magnus m
6
Q

ROM for flexion of hip

A

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

7
Q

ROM for extension of hip

A

15-30 deg

8
Q

ROM for internal rotation of hip

A

30-40 deg

9
Q

ROM for external rotation of hip

A

40-60 deg

10
Q

ROM for abduction of hip

A

45-50 deg

11
Q

ROM for adduction of hip

A

20-30 deg

12
Q

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

A
  • iliopsoas m

- femoral n

13
Q

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

A
  • gluteus maximus m

- inferior gluteal n

14
Q

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

A
  • gluteus medius m

- superior gluteal n

15
Q

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

A
  • adductor longus m

- obturator n

16
Q

what is the grading scale for strength testing?

A

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

17
Q

what structures are in the hip central compartment?

A
  • labrum
  • ligamentum teres
  • articular surfaces
18
Q

what structures are in the hip peripheral compartment?

A
  • femoral neck

- synovial lining

19
Q

what structures are in the hip lateral compartment?

A
  • gluteus medius m
  • gluteus minimus m
  • IT band
  • trochanteric bursae
20
Q

what structures are in the hip anterior compartment?

A
  • iliopsoas insertion

- iliopsoas bursae

21
Q

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

A
  • 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
Q

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

A
  • 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
Q

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

A
  • 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
Q

grade scale of 0

A

no contraction

25
Q

grade scale of 1

A

twitch

26
Q

grade scale of 2

A

active movement w/o gravity

27
Q

grade scale of 3

A

active mvmt with gravity

28
Q

grade scale of 4

A

active movement with gravity and SOME resistance

29
Q

grade scale of 5

A

active movement with gravity and full resistance, no fatigue