Lecture 5A Flashcards

(39 cards)

1
Q

What direction does the head of the femur face?

A

Medially, superiorly, and anteriorly

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2
Q

What is the close packed position of the hip

A

Full ext, internal rotation and abduction

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3
Q

What is the open packed position of the hip

A

30 flexion, 30 abduction, slight ER

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4
Q

What is the capsular pattern of the hip

A

Flexion -> Abduction -> IR

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5
Q

Hip Dysplasia vs FAI

A

Hip dysplasia - undercoverage of femoral head by acetabulum

femoro-acetabular impignement- either excess bone on femur or overcoverage by acetabulum

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6
Q

Coxa valga is any angle over:

A

139

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7
Q

What is the normal angle of inclination

A

125

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8
Q

Coxa vara is any angle under…

A

125

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9
Q

Angle of inclination is the angle between what two structures

A

Femoral neck and shaft

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10
Q

What is the normal range of the angle of torsion

A

adults 10-15

infants: 30

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11
Q

If someone has excessive anteversion or more than 15 degrees they will likely present with ?

A

Toe in and IR Hip
Predispose OA and excessive anterior glide

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12
Q

anteversion causes _______

A

toe in and hip IR
Pidgen toe

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13
Q

retroversion causes __________

A

toe out and ER

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14
Q

Excessive anteversion is an angle ____________

A

greater than 15

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15
Q

relative retroversion is _______

absolute retroversion is ________

A

Less than 10

Less than 0

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16
Q

If a patient presents with toe out and ER hip what type of retroversion do they have ?

A

RELATIVE and ABSOLUTE

17
Q

Is the angle of torsion typically retroversion or anteversion ?

18
Q

The hip joint capsule has a tendency to dislocate in what direction ?

A

POSTERIORLY and Inferior

19
Q

What is the only muscle that flexes the hip at the end range of flexion

20
Q

at the spine: The illiopsoas contraction causes:

A

Increased lumbar lordosis

21
Q

The rectus femoris pulls the innominate into _______

A

anterior tilt

22
Q

Glute med posterior fibers vs anterior fibers

A

posterior fibers (tend to be weaker) - extend, Abduct, ER

anterior: Flex Abduct, IR

23
Q

Patients with sway back posture, spinal DJD, and hip DJD commonly have an atrophied ____________

24
Q

What adductor muscle is most commonly strained

A

adductor longus

25
What are the 3 most important bursas in the hip
Illiopsos bursa - largest Trochanteric bursa- split ijnto 3 bursas around greater trochanter ischiogluteal bursa people usually forget about this bursa
26
Femoral triangle borders Superior border Medial Border Lateral border
Inguinal ligament Adductor Longus Sartorius
27
Name the contents on the femoral triangle medial to lateral
Femoral Vein Femoral Artery Femoral Nerve
28
The hip joint is innervated by _______, therefore pain from the hip can refer __________
L3 Anywhere in the thigh leg or foot
29
Blood supply to the femoral head goes through...
Ligamentum teres
30
Normal hip Flexion Ext MEMORIZE
110-120 10-15
31
Normal Hip abd Hip add MEMORIZE
30-50 25-30
32
Normal Hip IR Hip ER MEMORIZE
30-40 40-60
33
Hip Arthokinematics NWB: Flexion: Extension: Abduction: Adduction: IR: ER:
Flexion Spin and posterior glide
34
Hip Arthokinematics NWB: Extension
Spin anterior glide
35
Hip Arthokinematics NWB: Abduction
Inferior/ medial glide
36
Hip Arthokinematics NWB: Adduction
Superior/lateral glide
37
Hip Arthokinematics NWB: IR
Posterior glide
38
Hip Arthokinematics NWB:Er
Anterior glide
39
Hip Arthokinematics WB:
Pelvic anterior /posterior tilt Pelvic lateral tilt/drop Pelvic IR/ER