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25 Cards in this Set
- Front
- Back
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what make up the connecting ligaments of the hip joint and which one is the strongest?
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ischiofemoral, pubofemoral, transverse acetabular, and iliofemoral which is the strongest.
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some properties of the iliopsoas muscle...
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strong hip flexor, inserts on lesser trochanter of femur, and crosses more than one joint
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what is the only quadriceps muscle that crosses two joints?
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rectus femoris
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What muscles in the hip are analagous to the deltoid muscle in the shoulder?
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the gluteus maximus and the tensor fascia lata
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Weakness of what muscle will cause a trendelenburg lurch?
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gluteus medius
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contraction of the gluteus medius causes what? what is special about this muscle while you are standing?
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hip abduction, it will always be contracted while you are standing.
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what muscles are analagous to the rotator cuff?
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the short external rotators... piriformis, superior gemellus, obturator internus, inferior gemellus, obturator externus, and quadratus femoris as well as glut med and min
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in adults, what artery supplies most of the blood to the head of the femur and what muscle protects it?
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the medial circumflex femoral artery that is protected posteriorly by the quadratus femoris
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what are the numbers for grading muscle strength?
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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 |
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tenderness on palpation of the greater trochanter is indication of what?
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bursitis
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tenderness of the anterior superior iliac spine on palpation may indicate...
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avulsion of the sartorius or inflammation/contusion
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tenderness in the anterior hip area may indicate what?>
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swelling of the lymph nodes or infection of the hip joint
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tenderness of the posterior hip area may indicate what?
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inflammation of the piriformis if more superior or hamstring injury if more inferior
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pain at the SI joint may indicate what>
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swelling or inflammation
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paraspinal muscle tenderness or spasm in lumbar area may indicate what?
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spinal or hip pathology
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how does one determine leg length inequality?
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paplate right and left iliac crest and assess the difference (discrepancy is usually due to trauma)
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this gait pattern is seen when the patient spends less time on the painful or affected leg
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antalgic gait
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this gait is seen in cerebral palsy or post CVA
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spastic gait
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the thomas test will test for what? how is it performed?
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hip flexion contracture. while in supine, flex one hip and see if other leg must raise as well (this is positive test)
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the patrick test will test for what? how is it performed?
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tests for problems with posterior hip or SI issues. flex, abduct and externally rotate while in supine (cross legs and put foot on knee)
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the FADIR test will test for what and how is it performed?
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tests for hip impingement syndrome and is performed by flexion, adduction, and internal rotation
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how is the stichfield sign performed and what does it mean?
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resisted leg raise that will ilicit pain in the groin if positive indicating a problem with the hip joint itself.
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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.
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iliopsoas tendon tendinitis
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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.
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hip stress fracture
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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?
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trochanteric bursitis
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