The Groin And Pelvis: Exam 3 Flashcards Preview

Kinesiology > The Groin And Pelvis: Exam 3 > Flashcards

Flashcards in The Groin And Pelvis: Exam 3 Deck (33):
1

How do the hip and pelvis move?

Multiple planes and through muscle function and gait

2

What type of joint is the hip?

Ball and socket

3

Does the hip have high or low stability?

High

4

What is the most common structure in the hip and pelvis region?

Muscles

5

Obersvation of hip and pelvis

-symmetry of hips and pelvis tilt
-lower limb alignment
-pelvic landmarks
-standing on one leg
-ambulation

6

Lordosis

Sway back

7

Pelvis landmarks

-ASIS
-PSIS
-iliac crest

8

What should you look for hen asking patient to stand on one leg?

Pubic symphysis or drop on one side

9

Functional evaluation special tests for the hip and pelvis

-ROM and strength
-hip adduction, abduction, flexion, extension, internal and external rotation

10

Selective tissue testing

-hip flexor tightness
-sacroiliac joint
-iliotibilal band tightness
-gluteus medius weakness

11

How does adductor or hip flexor strain (groin) happen?

Running, jumping, twisting with hip external rotation or severe stretch

12

Symptoms of groin strain

-sudden twinge or tearing during active movement
-produces pain weakness and internal hemorrhaging

13

Management of groin strain

-rice and NSAIDs for 48-72 hours
-rest is critical
-ROM once pain free

14

How hip sprains happen

Unusual movement exceeding normal ROM may result in damage

15

Symptoms or sprains

-signs of acute injury and inability to circumduct hip
-pain in hip region with hip rotation increasing pain

16

Management of hip sprain

-x-ray or MRI to rule out fx
-RICE, NSAIDs
-ROM and PRE once pain free

17

What causes a hip Labral tear?

Repetitive movements such as running or pivoting, resulting in degeneration or breakdown of labrum

18

Can hip labral tear be acute?

Yes

19

Symptoms of hip labral tear

-clicking, locking, stiffness, slipping
-limited ROM
-Diffuse pain thru groin and hip

20

Management of hip labral tear

-hip ROM, strength, stability
-avoid painful movement

21

When is surgery required in hip labral tear?

About 4 weeks

22

What causes a hip pointer?

Contusion of iliac crest/ abdominal musculature and results from a direct blow

23

Symptoms of hip pointer

-pain
-loss of function

24

Management of hip pointer

-RICE 48 hours
-NSAIDs
-ic massage
-ultrasound
-***steroid injection occasionally

25

How long is recovery for hip pointer?

1-3 weeks

26

Where is osteitis pubis most seen?

Distance runners, soccer, football, wrestling

27

What causes osteitis pubis?

Repetitive stress on pubic symphysis and adjacent muscles

28

Symptoms of osteitis pubis

-chronic pain and inflammation of groin
-point tenderness on pubic tubercle
-acute case may be the result of bicycle seat

29

Management of osteitis pubis

-rest
-NSAIDs
-gradual return to activity
-steroidal injection possible

30

Athletic pubalgia

Chronic pain in pubic region

31

What causes athletic pubalgia?

Repetitive stress to pubic symphysis from kicking, twisting, or cutting

32

Symptoms of athletic pubalgia

-no hernia
-point tenderness
-pain increased with resisted hip flexion, internal rotation, abdominal contraction, resisted hip adduction

33

Management of athletic pubalgia

-conservative treatment (rarely effective)
-massage
-stretching after 1 week
-aggressive treatment involves cortisone injection or tightening of pelvic wall surgically