Hip Flashcards by Owen Honroth

special tests for hip pathology

scour
FABER

How well did you know this?

Not at all

Perfectly

scour test
- protocol/indication
- positive

hip OA/DJD

supine with hip flexed and adducted
add compression force as hip is abducted with flexion

(+) reproduction/apprehension

How well did you know this?

Not at all

Perfectly

FABER test
- protocol/indication
- positive test

mobility restriction of hip

pt supine, passive flexion, abduction, ER
– foot at level of knee
lower knee toward table

(+) = repro, involved leg is not able to maintain relaxed position

How well did you know this?

Not at all

Perfectly

Labral lesion tests

FADIR

How well did you know this?

Not at all

Perfectly

FADIR test
- protocol
- positive

anterior-superior impingement, iliopsoas tendinopathy, anterior labral tear

FLEX, ADD, IR

(+) = reproduction of pain (+/-) click

How well did you know this?

Not at all

Perfectly

thomas test
- protocol/indication
- positive

tightness of hip flexors

pt supine, one knee in flexion, one straight on table

(+) - straight limb hip flexion / patient unable to maintain flat on table

How well did you know this?

Not at all

Perfectly

Ober’s test
- protocol/indication
- positive

tightness of TFL/IT band

pt SL - lower limb slightly flexed at hip/knee
passive top limb taken into extension/abduction and brought toward table

(+) - uppermost limb unable to cross “horizontal”
AKA increased tightness not allowing leg to drop back behind body

How well did you know this?

Not at all

Perfectly

ely’s test
- protocol/indication
- positive

tightness of rectus femoris

pt prone, flex knee of involved limb

(+) if hip of limb flexes

How well did you know this?

Not at all

Perfectly

90-90 HS test
- protocol/indication
- positive

tightness of HS

pt supine, hip/knee in 90 flex
– passive knee extension until barrier

(+) = if <10deg of knee extension compared to CL side

How well did you know this?

Not at all

Perfectly

heel contralateral knee maneuver test
- protocol/indication
- positive

piriformis tightness/piriformis syndrome

pt supine
foot of involved limb passively placed on CL limb knee with tested hip abducted

(+) - if tested knee cannot pass CL knee, reproduction of pain, paresthesias in sciatic distribution

How well did you know this?

Not at all

Perfectly

hip lag sign test
- protocol/indication
- positive

glute med tear/weakness of hip abductors

pt SL, passive abduction and IR with 45deg of extension
– tell pt to maintain position

(+) - unable to hold, pain, or lack of IR
– 10 sec

How well did you know this?

Not at all

Perfectly

leg length discrepancy test

pt supine, pelvis balanced and aligned

ASIS to lateral malleolus
– multiple times for repeatability

How well did you know this?

Not at all

Perfectly

true vs functional leg length discrepancy

true - anatomical differences (tibia or femur)

funct - result of compensation pattern via abnormal posture
– foot pronation, pelvic obliquity, mm imbalance

How well did you know this?

Not at all

Perfectly

patellar pubic percussion test
- protocol/indication
- positive

hip fx

percuss patella with auscultation of pubic symphysis

(+) - decreased percussion

How well did you know this?

Not at all

Perfectly

hip fx negative consequences

femoral neck - circumflex artery compromise = AVN

How well did you know this?

Not at all

Perfectly

tests for hip jt patho

Scour
FABER (pain or <60HFlex)
FADIR

How well did you know this?

Not at all

Perfectly

test of FAI

Study These Flashcards

FADIR

test of lateral hip tendinopathy

Study These Flashcards

trendelenburg
glute med/min pain with resistance

HIP OA prediction guidelines

Study These Flashcards

increased pain/symptoms with AROM hip flexion (squatting/stairs)

(+) Scour

pain w/ active extension

passive IR <25 degrees compared to CL

3/5 - rule IN

CPG recommended examination components of hip pain with mobility deficits

Study These Flashcards

sub:
- morning stiffness/mod pain when WB

Outcome Measures:
WOMAC - sub
6MWT
TUG
SLS

Obj:
ROM
hip mm strength
FABER
hip IR <24 or IR/Flex <15 compared to CL

interventions for hip pain with mobility deficit

Study These Flashcards

flexibility
strengthening
endurance
(1-5x a week for 6-12)

manual - mild to mod
soft tissue mobilzation
thrust/non-thrust mob
1-3x for 6-12 wks

avascular necrosis of hip
– s/s

Study These Flashcards

dec hip F, IR, AB

pain in groin/thigh and tenderness with palpation at hip

coxalgic gait
– lateral trunk lean toward involved side

medical treatment for AVN of hip

Study These Flashcards

corticosteroids are CONTRAINDICATED

very possible that they caused it

coxa vara vs valga
- degrees
- presentation

Study These Flashcards

vara - <115deg
- can present with genu valgum

valga - >125 degrees
– can present with genu varum

etiology of coxa vara vs valga

vara - defect in ossification of femoral head -- can both result from AVN (most commonly via septic arthritis)

greater trochanteric pain syndrome - etiology - s/s

tendinopathy of glute med/min -- typically over use due to abnormal adduction/IR mechanics with WB pain over greater troch, worsened with SL and prolonged standing

examination tasks for pt with suspected greater trochanteric pain syndrome

tenderness to palpation of GT pain w/resisted AB, ER, or ext pain w SLS on involved side

GTPS ICF - intervention

hip pain with MPD - progressive loading - improved lumbopelvic stability/control - avoidance of position/activity promoting prolonged loading

action of piriformis? biomechanical faults causing undue stress on piriformis

ER at <60 hip flexion AB/IR at 90flex over pronation abnormal femoral IR

referral pattern of piriformis syndrome

restricted hip IR weak hip ER tenderness to palpation

FAI

femoral acetabular impingement cam or pincer type

CAM FAI lesion

impingement of aspherical femoral head in acetabulum

pincer FAI

prominent acetabular rim causing over-coverage of femoral head

what is FAI common with

acetabular labral tear

etiology of sports hernia

rapid acceleration/deceleration and change of direction -- with kicking most often too

areas common for sports hernia

adductors iliopsoas inguinal pubic

FADIR/FABER tell you what if hip pain is non-arthritic

FAI syndrome - negatives tell you it is not FAI

hip outcome measures

iHOT - international hip outcome tool HAGOS - copenhagen hip and groin score HOS-SRA - hip outcome score sports related activities

what should subjective outcome measures focus on in non-arthritic hip pain populations

depression/anxiety self efficacy kinesiophobia

measures related to femoral neck fractures across plan of care

knee extension strength gait speed (10meter) - fast/comfortable TUG - fast/comfortable

interventions related to proximal femoral neck fractures over con

progressive high intensity resistance ex (WB/NWB) -- must continue after PT at the 8-16 wk mark balance functional mobility - early mobilization

PT goals for sports hernia

8-12 wk rehab reduction of pain via modalities/manual therapy functional training to improve: - strength - endurance - proprioception - coordination - flexibility

Hip Flashcards

(42 cards)