Hip

Question 1

Proximal Hamstring Strain Test

Answer 1

• supine plank test

- supine on elbows with injured leg doing plank

Question 2

How many muscles influence hip movement?

Answer 2

22 (anatomically)

Question 3

Longest muscle in body

Answer 3

sartorius

Question 4

FAI

Answer 4

• femoral neck abutment with acetabulum
• worse with flex/IR
• cam/pincer lesion
• associated with certain sports: dance etc

Question 5

Cam lesion

Answer 5

-pistol grip lesion on xray

Question 6

Active SLR with FAI

Answer 6

• fem head moves ant with hip flexion instead of posterior

- -femoral anterior glide syndrome

Question 7

Hip Pathology Continuum

Answer 7

FAI–>Labral Tear–>OA

Question 8

Hip WB in Standing

Answer 8

0.5x BW

Question 9

Hip WB in Stairclimbing

Answer 9

3x BW

Question 10

Hip WB in Running

Answer 10

4.5x BW

Question 11

Piriformis Syndrome S/Sx

Answer 11

• buttock pan
• sciatic nerve Sx
• tender to palp
• pain incr with walking/excessive sitting
• SLR may incr Sx

Question 12

Radiculopathy S/Sx

Answer 12

• Hx LBP
• pain in sitting
• pain with trunk motion
• Positive neurodynamic tests (slump, SLR)

Question 13

SIJ Pathology S/Sx

Answer 13

• pain w/ WB & palpation
• pelvic asymmetry
• SIJ provocation tests +
• Radiating pain

Question 14

S/Sx Proximal Hamstring Strain

Answer 14

• pain around isch tuberosity
• deep buttock pain
• post thigh pn
• worse with sitting
• plank test positive
• resisted hip ext/knee flex painful

Question 15

Treatment of Prox Hamstring Strain

Answer 15

• cross friction
• eccentric hamstring work (single leg dead lift)
• glut strengthening
• slump stretching
• core strengthening

Question 16

FAI

Answer 16

• femoral acetabular impingement
• femoral neck abutment with acetabulum
• cam vs pincer

Question 17

Pincer Impingement

Answer 17

• acetabular overcoverage

- more in middle-aged females

Question 18

Cam Impingement

Answer 18

• femoral head/neck deformity
• large femoral head radius
• causes shear on acetabular rim
• more common in young males

Question 19

FAI S/Sx

Answer 19

• swayback posture
• limited hip flex/IR
• decr post glide in flexion
• groin pain with hip flex or standing with hip IR
• FADIR+
• Short TFL
• Weak glut med/max, iliopsoas
• C sign

Question 20

FAI Treatment

Answer 20

• Post glides
• Self glides
• stretch TFL
• Strengthen glut max/med and iliopsoas
• core strength for sway back

Question 21

FAI–>____–>_____

Answer 21

FAI–> Labral Tear–> OA

Question 22

Hip OA Diagnosis

Answer 22

• pain in the hip

- <115* hip flexion