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43 Cards in this Set

  • Front
  • Back

Where are the two most common areas which hip fractures occur?

Extracapsular or trochanteric, Femoral neck (intracapsular), and proximal femoral shaft
What is the most common complication of hip fractures?
Avascular necrosis of the femoral head
True or False: Arterial thrombosis is the most common complication after hip fracture in the elderly.
False, venous thrombosis

What are the three clinical complications associated with subtrochanteric fractures?

Mal-union, delayed union and nonunion
What is the most important criteria used to progress a patient with a hip fracture from the maximum to minimum phase of rehab?
Rate of bone healing
What exercises are commonly done in the maximum phase of rehab after a ORIF for a fractured hip?
Active ankle pumps, isometric quad sets, gluteal sets, heel slides, hip abd and add, and supine IR and ER.
True or False: during the max protection phase, exercises should be done sub-maximally.
True or False: treadmill walking can be done in the late healing phase of a fractured hip rehab program.
True or False: exercises which combine diagonal or rotatory forces are contraindicated in the late phase of rehab following a fractured hip.
False, they contraindicated in the early phase
Name two exercises which are contraindicated in the early phase of rehab following a hip fracture treated with ORIF.
Active SLR and supine hip bridges
What weight bearing status is encouraged 2 days post-operatively?
Touch down or PWB
When can closed chain exercises be added to a post-op ORIF hip fracture?
When the patient has achieved FWB status
True or False: hemiarthroplasties are commonly performed in patients with arthritis.
False, since this procedure requires a normal acetabular surface it is not done with arthritic patients.
True or False: the most significant complication after THR is thromboembolic disease.
What is a common complication that patients experience after noncemented THR?
Thigh pain with an antalgic gait (painful limp gait)
True or False: cemented THR patients should be able to achieve FWB status by 8 weeks post-op.
False, three weeks post-op
What are the universal hip precautions associated with a posterior approach for a THR?
Avoid hip adduction, IR and flexion beyond 90 degrees and the combination of motions for up to 4 months post-op.
What are some functional activities that are contraindicated following a posterior THR?
Do not sit in low chairs, cross legs, sleep on the side, avoid bending over, and do not squat.

True or False: Legg-Perthes disease is caused by avascular necrosis to the femoral head in growing children.

What are the goals of treatment for Legg-Perthes disease?
Maintaining the femoral head in the acetabulum, regaining motion and reducing pain and dysfunction.
True or False: the Thomas test is used to assess tightness in the ITB.
False, its used to check tightness in the Iliopsoas.
True or False: a + positive Ober test is commonly seen with trochanteric bursitis.
True, stretching to the ITB is an important part of the rehab
What combined motions should be avoided in the acute phase of a hamstring strain?
Full knee extension combined with forward trunk flexion and full leg flexion.
What structures does the Faber Test access?
hip joint, SI joint, iliopsoas spasm
What muscle strength does the Trendelenburg test access?
Gluteus Medius
What tests access the length of the rectus femoris?
Kendell and Ely
What anatomical landmarks are used to measure a true leg length?
ASIS and the medial malleolus
What combined motions are performed to assess a piriformis syndrome?
Passive Hip flexion concurrent with IR or resistring hip extension and hip ER
What hip imbalances are associated with an anterior pelvic tilt posture?
Short TFL and IT band, limitation in ER, weakness in the gluteus medius and piriformis
What hip imbalances are associated with a slouched posture?
Shortened Rectus Femoris and hamstrings, weakness in the iliopsoas and gluteus medius, gluteus maximus
What hip imbalances are associated with a flat back posture?
Shortened Rectus Femoris and IT band and gluteus maximus
What exercises should be used to correct a slouched posture?
Stretch the Rectus Femoris and hamstrings and strengthen the iliopsoas and gluteus medius, gluteus maximus
What exercises should be used to correct an anterior pelvic tilt posture?
Stretch TFL and IT band and the internal rotators, strengthen the gluteus medius and piriformis
Define a "hip pointer."
Contusion to subcutaneous tissues of the iliac crest
In an open kinetic chain, what direction would a PT mobilize the head of the femur to gain IR?
Posterior glide
What are the ROM percautions associated with a THR performed with an anterior approach?
Avoid flexion >90 degrees, hip extension, adduction and ER past neutral
What are the mechanisms of injury associated with a hip pointer?
1. Direct contact from an external force or falling on the exposed iliac crest.
2. Sudden forceful contraction or overstretching of the muscles which originate to the iliac crest.
What assistive device would be best for a 74 year old male who suffers from dyspnea and who recently underwent a THR?
What surgical approach for THA has the highest rate of dislocation?
True or False: an anterior joint mobilization to the head of the femur would increase hip extension.
True or False: an inferior joint mobilization to the head of the femur would increase hip adduction.

False, hip abduction

Name the 3 special tests used to detect congenital hip dysplasia or dislocation.

Barlow and Ortolani and telescoping sign

Name the common impairments associated with hip OA.

Groin pain (L3 dermatome), loss of IR, stiffness after rest, limited extension, antalgic gait and impaired balance and posture