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74 Cards in this Set
- Front
- Back
The hip joint called the ___ ______ consists of the illium, ischium, and pubis.
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os coxae
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The hip functions as an attachment site for various ________.
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muscles
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The hip functions to transmit weight away from the _____ tuberosity (sit bones)
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ischial
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The hip functions to _______ reproductive organs, bladder and bowels.
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support
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The pelvic girdle consists of what number of os coxae?
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2
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The hip joint is the articulation between the _________ and the ______ ____ of the femur.
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acetabulum
femoral head |
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Femoral ______ occurs when the femoral head is enlarged and is not congruent with the acetabulum.
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displagia
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Acetabulum _______ occurs when the acetabulum is enlarged and is not congruent with the femoral head.
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displagia
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What is the normal angle of inclination for the acetabulum femoral joint?
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125 degrees
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When the angle of inclination between the femoral head is 105 degrees is this termed coxa vara or coxa valga?
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coxa vara
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Is coxa vera associated with external rotation or internal rotation of the hip?
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Internal rotation
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When the angle of inclination is 140 degrees, is this termed coxa vera or coxa valga?
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coxa valga
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Is coxa valga associated with external rotation or internal rotation of the hip?
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External rotation
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True/False Individuals who have coxa valga have bow-legged knees.
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True
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A normal angle of torsion is ___ degrees.
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15
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Excessive anteversion when looking at the angle of torsion occurs at ___ degrees and causes excessive internal rotation.
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35
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What device can be used to correct excessive anteversion?
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Braces
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Excessive external rotation when looking at the angle of torsion occurs at 5 degrees and leads to Femoral Acetabulum _________.
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impingement
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What is the strongest ligament of the hip?
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Iliofemoral ligament
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The Acetabular _______ acts as a suction cup around the head of the femur and deepens hip socket by 30%.
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labrum
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Where there is a line of (compact/cancellous) bone it means that area is stressed.
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cancellous
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The iliofemoral ligament prevents hyperextension and external rotation of the ____ and helps paraplegics stand erect when using a walking device.
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hip
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As the femur moves on the pelvis during flexion, ____ degrees of flexion occurs when the knee is flexed and < ____ degrees of flexion when the knee is extended.
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120
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As the femur moves on the pelvis during extension, ___ degrees of extension occurs when the knee is extended and slight to ___ hip extension when knee is flexed.
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20
no |
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As the femur moves on the pelvis, ____ degrees of abduction occurs.
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40
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As the femur moves on the pelvis, ___ degrees of adduction occurs.
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25
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As the femur moves on the pelvis, ___ degrees of internal rotation occurs.
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35
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As the femur moves on the pelvis, ____ degrees of external rotation occurs.
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45
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As the pelvis moves on the femur, visualize sitting down, ___ degrees of pelvic extension and flexion occur.
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30
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As the pelvis moves on the femur, ___ degrees of pelvic abduction and adduction occurs.
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30
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When thinking about pelvic flexion, think about doing chair ______.
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crunches
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When the pelvis moves on the femur, ____ degrees of internal and external rotation occur.
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15
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As the pelvis moves on the femur, ___ degrees of external and internal rotation occur.
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15
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As the pelvis moves anteriorly (flexion), the vertebral column moves ________.
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posteriorly
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The hip flexor muscles would be on the (anterior/posterior) side of the body
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anterior
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Name two muscles that facilitate hip flexion.
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Iliopsoas
Sartorius Tensor Fascia Latae Adductor Longus Pectineus Secondary: Adductor Brevis Gracilis Gluteus minimus (anterior fibers) |
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What two muscles act as force coupling to produce pelvic on femoral hip flexion? (Anterior pelvic tilt)
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Erector Spinae
Sartorius |
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Contracture of the hip ______ occurs when a person is seated for extended periods of time. Hips are never extended and are weak and flexors are strong.
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flexors
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What ligament becomes very tight when there is a hip flexor contracture?
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Iliofemoral ligament
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What kinds of treatment can be done to fix hip flexor contracture?
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Stretch hip flexors
Strengthen hip extenders |
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The hip adductor muscles are more(medial/lateral) on the leg.
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medial
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Name two hip adductor muscles.
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Pectineus
Adductor Longus Adductor Magnus Adductor Brevis Gracilis Secondary: Biceps femoris (long head) Gluteus maximus |
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True/False There are no primary muscles involved in hip internal rotation because none of the secondary muscles involved are oriented in the transverse plane.
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True
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Name two hip internal rotators. These are most associated with hip adduction.
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Adductor Brevis
Adductor Longus Pectineus Tensor Fascia Latae Gluteus minimus (anterior fibers) Gluteus medius (anterior fibers) |
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The hip extensors are on the (anterior/posterior) side of the body.
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posterior
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Name two hip extensors.
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Gluteus maximus
Biceps Femoris Semitendinosus Semimembranosus Adductor Magnus (posterior head) Secondary: Gluteus medius Adductor magnus (anterior head) |
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During hip extension the pelvis tilts (anteriorly/posteriorly).
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Posteriorly
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What two muscles act as force couplers and are contradirectional in hip extension as posterior pelvic tilt?
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Hamstrings/Gluteus Maximus with Rectus Abdominus
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Name two hip abductor muscles.
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Gluteus Medius
Gluteus Minimus Tensor Fascia Latae Secondary: Piriformis Sartorius |
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True/False The hip extensors, abductors and external rotators are primarily on the posterior part of the body.
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True
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Name two hip external rotators.
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Gluteus maximus
Piriformis Obturator internus Gemellus superior Gemellus inferior Quadratus femoris Secondary: Gluteus medius (posterior fibers) Gluteus minimus (posterior fibers) Obturator externus Sartorius Biceps femoris (long head) |
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What plane and what movements associated with that plane generate the most force when we accelerate forward?
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Sagittal plane
Flexion/Extension |
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When trying to stretch the hamstrings, we should (anteriorly/posteriorly) tilt the pelvis.
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anteriorly
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When trying to stretch the quadriceps, we should (anteriorly/posteriorly) tilt the pelvis.
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posteriorly
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What hand should you hold a cane in if the right hip is injured?
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Left hand to reduce stress on right hip abductors
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What is the most common hip injury?
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Muscle strains
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What is the most common contusion that occurs in the hip? The bruise occurs in the muscle and bone.
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Iliac crest contusion
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Meralgia Parasethetica results from iliac crest contusion when the ______ femoral nerve becomes compressed
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lateral
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True/False Rest, Immobilization, Ice, Compression, limit weightbearing, aspiration and padding will worsen iliac crest contusion.
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False better
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True/False Iliac crest contusion is hard to distinguish from an avulsion fracture
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True
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What population do avulsion and apophyseal injuries occur in?
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adolescents because bones and tendons are not as strong
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________ is the site at which a tendon inserts into a bone.
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Apophyseal
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Where do patients typically feel the pain when they have a hip avulsion or apophyseal injury?
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Ischial tuberosity (sit bone)
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Hip ________ or _________ occurs when the femoral head comes completely or partially out of the acetabulum.
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dislocation, sublaxation
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True/False Most hip dislocations occur anteriorly when the leg abducts rather than posteriorly when the leg adducts.
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False posteriorly when leg adducts
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People who have sublaxated or dislocated the femoral acetabular joint or have acetabular displagia are more susceptible to _______ tears.
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Labral
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The symptoms of _____ tears are groin pain, limited ROM and the treatment is to limit weightbearing and have surgery.
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labral
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______ pubis is inflammation of the pubic symphysis. It most commonly affects individuals who run or play soccer. (THINK BONE INFLAMMATION).
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Osteitis
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What is the name of the surgery in which the adductor muscle is cut in order to reduce inflammation during osteitis pubis?
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Adductor etendectomy
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Bursitis of the hip commonly occurs at the ________ trochanter. Women are more likely to develop bursitis because we have wider hips. Excessive adduction introduces a larger Q angle
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greater
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What syndrome occurs when the IT band slips over the greater trochanter? This is a result of weak hip internal rotators.
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Snapping hip syndrome
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Which is more common- external snapping hip syndrome or internal snapping hip syndrome (iliopsoas)?
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External snapping hip syndrome
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________ syndrome occurs when the piriformis muscle compresses the sciatic nerve and the sciatic nerve becomes inflammed.
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Piriformis
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What would a PT have you do to reduce compression on the sciatic nerve?
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Flex and internally rotate the hip
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