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63 Cards in this Set
- Front
- Back
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Three hip joints of the pelvic girdle
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1. Acetabular joint
2. Pubic symphysis 3. SI joint |
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Is the hip a stable or unstable joint?
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Stable
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Does the hip move in one direction or many?
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Many
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What type of joint is the hip joint?
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Ball and Socket
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What does enarthrosis mean?
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Ball and Socket joint
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When does hip-joint pathology get manifested? List 3
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1. Weight bearing
2. Ambulation 3. Motion |
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Which will restrict motion more? Pathology of SIJ or Hip joint
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Hip Joint
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Which will restrict motion more? Pathology of Pubic Symphysis or Hip Joint?
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Hip Joint
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What is the angle of the femoral neck and shaft of femur in males?-
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125 degrees
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What is the angle of the femoral neck and shaft of femur in females
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115-120 degrees
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Why are the angles of the the femoral neck and shaft different for male vs female?
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To accomodate the birth canal and gravid uterus
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When does coxa vara occur?
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When the femoral neck and shaft angle is decreased.
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What happens to the leg in Coxa VARA?
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affected leg----
shortened and Hip abd. is limited |
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What happens to the knee in Coxa VARA?
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VALGUS deformity
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When does coxa VALGA occur?
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When the femoral neck and shaft angle is INCREASED
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What happens to the leg in Coxa VALGA?
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affected leg----
LENGTHENED and Hip abd. is limited |
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What happens to the knee in Coxa VALGA?
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VARUS deformity
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Name HIP flexors muscles innervated by Femoral nerve
"RIPS" |
Rectus Femoris
Iliopsoas Pectineus Sartorius |
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Name HIP flexors muscles innervated by Obturator nerve
"GAAA" |
Gracilis
Adductor MAGNUS Adductor Longus Adductor Brevis |
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Name the HIP FLEXOR muscle innerv by superior gluteal nerve
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Tensor Fascia Lata
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Name the Anteriorly placed Adductor Group of Hip muscles?
"PAAAG" |
Pectinus
Adductor Brevis Adductor Longus Adductor MAGNUS Gracilis |
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Name the Posteriorly placed Adductor Group of Hip muscles?
"GO GBSS" |
Glut Max
Obturator Gracilis Bicep Long Head Semitendous Semimembranous |
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Name the Abductor Group of Hip muscles?
"Glut TiPS" |
Glut medius
Gult minimus Tensor Fascia Lata Sartorius Piriformis Glut Max |
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Name the Extensor Group of Hip muscles?
"Glut BAPSSS" |
Glut Max
Glut med Glut minimus Bicep Femoris Long Adductor Magnus Piriformis Sartorius Semitend Semimembranousous |
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Name the Lateral Rotator Group of Hip muscles?
"GO PQ Gluts" |
Gamelli
Oburator Externus Piriformis Quadratus Femoris Glut max Glut med Glut min |
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Name the Medial Rotator Group of Hip muscles?
"TAGGG SS" |
Tensor Fascia Lata
Adductor Mag, Long, Brev Glut med Glut min Gracilis Semitendinousu Semimembranousus |
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What is the function of teh Glenoid Labrum?
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Deepens the acetabulum
Function = hold the femoral head in place |
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Where does the articular fibrous capsule extend from?
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the Acetabular rim to the Intertrochanteric Crest
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Where does the articular fibrous capsule enclose?
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the hip joint and femoral neck
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What is important of the
Y-ligament of Bigelow? |
It is the strongest ligament in the body
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Waht is another name for the Y-ligament of Bigelow?
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Iliofemoral Ligament
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Where does the Y-ligament of Bigelow extend from ?
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Anterior Inferior Iliac Spine to Intertrochanteric line
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Where does the Y-ligament of Bigelow function?
3 preventions |
Prevent overextension
Prevent Abduction Prevent Lateral rotation |
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Is the Y-ligament of Bigelow also known as the Iliofemoral ligament or Ischiofemoral ligament?
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Iliofemoral
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What is the function of the ischiofemoral ligament?
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Check Medial rotation
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What is the function of the pubofemoral ligament?
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Check abduction
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Is the ligamenttum Capitis Femoris weak or strong?
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weak
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What is the ligamentum capitus femoris carry to the femoral head?
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In 80% of cases it carries a small artery to the femoral head
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List the normal range of the hip for
1. Flexion 2. Extension |
Flex==`120
Exten==30 |
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List the normal range of the hip for
1. Abduction 2. Adduction |
AB--45-50
Adduction 0-35 |
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List the normal range of the hip for
1. Ext. Rotation 2. Internal Rotation |
Ext Rot--35 degrees
Internal Rot--45 |
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What ROM does OA usually limit in the HIP first?
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INTernal Rotation
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List 4 HIP tests
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1. Fabere (Patrick)
2. Thomas 3. Ober 4. Trendelenburg |
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What HIP test uses hip flexion, abduction, external rotation, and
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Faber's
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Which test is used to asses hip flexion contractures?
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Thomas
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When is a Thomas test positive?
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When one hip is completely flexed and the opposite hip does not stay fully extended
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What does the Ober test test for?
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Contraction of the fascia lata or ITB
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In the ober test, which leg is on top the involved or uninvolved side?
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Involved
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Which test abducts the involved leg as far as possible and then flexes the knee 90 degrees?
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Ober
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How it the ober test positive?
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when the thigh remains abducted
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What does the Trendelenberg test for?
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Glut medius weakness
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When the leg is raised in Trendelenburg, what side is the muscle being tested?
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the muscle of the supported side
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When is Trendelenberg Positive?
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when the pelvis on the unsupported side descends or remains level
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If the pelvis on the unsupported side ascends is that a positive or neg Trendelenberg sign?
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negative
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List 6 dx that can lead to glut medius weakness?
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Radic
Poliomyelitis Meningomyelocele Fx. of greater trochanter SCFE CHDislocation |
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TRUE Leg Length Discrep is measured from where to where?
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ASIS to medial malleoli
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Where is the TRUE LLD discrepancy determined to be differentiated from?
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Tibia or Femur
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How to assess True LLD?
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Supine--Flex Knees to 90 degrees
Place both feet flat on the table |
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How to assess if the tibia or is involved in LLD?
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If one knee is HIGHER than other when feet flat on table==Tibia Longer
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How to assess if the FEMUR is involved in LLD?
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If one knee is Anterior/ LONGER than other when feet flat on table==Femur Longer
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In APPARENT LLD where do you measure from?
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umbilicus to the medial malleolus
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What may cause TRUE LLD?
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fracture crossing the epiphyseal plate in childhood
or poliomelitis |
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What may cause Apparent LLD?
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Pelvic Obliquities
Pelvic Flexion Pelvic Adduction |
