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25 Cards in this Set

  • Front
  • Back
what make up the connecting ligaments of the hip joint and which one is the strongest?
ischiofemoral, pubofemoral, transverse acetabular, and iliofemoral which is the strongest.
some properties of the iliopsoas muscle...
strong hip flexor, inserts on lesser trochanter of femur, and crosses more than one joint
what is the only quadriceps muscle that crosses two joints?
rectus femoris
What muscles in the hip are analagous to the deltoid muscle in the shoulder?
the gluteus maximus and the tensor fascia lata
Weakness of what muscle will cause a trendelenburg lurch?
gluteus medius
contraction of the gluteus medius causes what? what is special about this muscle while you are standing?
hip abduction, it will always be contracted while you are standing.
what muscles are analagous to the rotator cuff?
the short external rotators... piriformis, superior gemellus, obturator internus, inferior gemellus, obturator externus, and quadratus femoris as well as glut med and min
in adults, what artery supplies most of the blood to the head of the femur and what muscle protects it?
the medial circumflex femoral artery that is protected posteriorly by the quadratus femoris
what are the numbers for grading muscle strength?
0 = no contraction
1 = slight contraction with no movement
2 = motion without gravity
3 = range of motion against gravity
4 = full range of motion, some resistance
5 = full range of motion, full resistance
tenderness on palpation of the greater trochanter is indication of what?
tenderness of the anterior superior iliac spine on palpation may indicate...
avulsion of the sartorius or inflammation/contusion
tenderness in the anterior hip area may indicate what?>
swelling of the lymph nodes or infection of the hip joint
tenderness of the posterior hip area may indicate what?
inflammation of the piriformis if more superior or hamstring injury if more inferior
pain at the SI joint may indicate what>
swelling or inflammation
paraspinal muscle tenderness or spasm in lumbar area may indicate what?
spinal or hip pathology
how does one determine leg length inequality?
paplate right and left iliac crest and assess the difference (discrepancy is usually due to trauma)
this gait pattern is seen when the patient spends less time on the painful or affected leg
antalgic gait
this gait is seen in cerebral palsy or post CVA
spastic gait
the thomas test will test for what? how is it performed?
hip flexion contracture. while in supine, flex one hip and see if other leg must raise as well (this is positive test)
the patrick test will test for what? how is it performed?
tests for problems with posterior hip or SI issues. flex, abduct and externally rotate while in supine (cross legs and put foot on knee)
the FADIR test will test for what and how is it performed?
tests for hip impingement syndrome and is performed by flexion, adduction, and internal rotation
how is the stichfield sign performed and what does it mean?
resisted leg raise that will ilicit pain in the groin if positive indicating a problem with the hip joint itself.
excluding arthritis and AVN, this condition is noted by groin pain, clicking or snapping in anterior hip area and pain while sitting with resisted hip flexion.
iliopsoas tendon tendinitis
this condition is common in runners and military recruits and includes hip pain with weight bearing and limping. It is treated by imobilization or pinning.
hip stress fracture
common in elederly, wide hipped females, lateral hip pain, pain over greater trochanter, no pain with ROM, can't sleep on their sides, and normal x rays are all signs of what?
trochanteric bursitis