M2-C1-L38 --> Pelvis And Hip

Front 1

Gluteus medius

- what does it do?
- origin
- insertion

Back 1

Imparts stability in the hip, keeping the pelvis leveled walking

ilium

greater trochanter

Front 2

Weakness in the gluteus medius will cause what sign?

Back 2

Trendelenburg gait

Front 3

What artery provides the majority of the blood flow to the femoral head in adults?

Back 3

Medial Femoral Circumflex

Front 4

Why is it important to NEVER dissect the Quadratus femoris muscle during surgery?

Back 4

B/c the medial femoral circumflex artery is anterior to it, thus it might tear and lead to AVN

Front 5

Muscle Grading: 0

Back 5

No contraction

paralysis

Front 6

Muscle Grading: +1

Back 6

Slight contraction

No movement

Front 7

Muscle Grading: +2

Back 7

Movement without gravity

Front 8

Muscle Grading: +3

Back 8

Movement against gravity

Front 9

Muscle Grading: +4

Back 9

Full ROM, some resistance

Front 10

Muscle Grading: +5

Back 10

Full ROM with resistance

Front 11

Tenderness to Greater Trochanter would indicate?

Back 11

Bursitis

Front 12

Tenderness to ASIS would indicate?

Back 12

Avulsion of the Sartorius

Front 13

Tenderness to Lumbar Spine would indicate?

Back 13

Spinal/hip pathology

Front 14

Tenderness to Sacroiliac joint would indicate?

Back 14

Swelling/inflammation of joint

Front 15

Tenderness to Posterior hip area would indicate?

- what if it is inferior posterior hip area?

Back 15

Inflammation to Piriformis

Then, inflammation to hamstrings

Front 16

Tenderness to Anterior Hip Area would indicate what? x2

Back 16

Lymph node swelling

or

Infection to hip joint

Front 17

Thomas Test will test for what?

Back 17

Hip flexion contracture

Front 18

Patrick's Test will test for what? x2

Back 18

FAdIR
(Hip Impingement Syndrome)

FABER
(SI Joint Problems)
(Posterior Hip Problems)

Front 19

Resisted Straight leg tests for what?

Back 19

Hip pathology

Front 20

Hip Arthritis

- Complaint

Back 20

Pain to hip, groin, butt, and lower back.

+/- radiation to knee

Exacerbated with walking, moving, stairs, etc.

Front 21

Name 2 hip conditions that are Emergencies.

Back 21

Hip infection

Hip dislocation

Front 22

Hip Infection

- symptoms
- common cause
- treatment

Back 22

Constant hip pain
Hip is in SEMI-FLEXED position
Fever, nausea, chills, ...

Staphylococcus

Emergent surgical drainage

Front 23

Infected THA

- incidence
- treatment

Back 23

Less than 1% of THA's

Difficult

Front 24

Iliopsoas Tendon Tendonitis

- symptoms

Back 24

Groin Pain

Clicking in anterior hip area

Front 25

Hip stress Fx

- common in what group(s)
- symptoms
- treatment

Back 25

runners + military

limp + hip pain

immobilize (maybe surgery)

Front 26

Trochanteric Bursitis

- affects whom mostly
- symptoms
- X-rays reveal what

Back 26

Elderly + "wide hipped" women

Lateral hip pain
Cannot sleep on side
Pain over Greater trochanter

Nothing. It is negative

Front 27

Hip Dislocation

- mostly a result of what
- what kind of dislocation is it usually?
- treatment

Back 27

MVA or trauma

Posterior

Immediate reduction
with
2 yrs of followup for AVN

Front 28

Hip Fx:

- common to what group?
- Mortality rate
- Treatment

Back 28

Elderly
(esp. with osteoporosis or OA)

1 year survival rate is:
50% without surgery
35% with surgery

Surgery with early rehab.