Term
| Most common disease affecting the hip jt |
|
Definition
|
|
Term
| How many people may develop painful hip arthrits by age 85? |
|
Definition
|
|
Term
| Difference between primary and secondary OA |
|
Definition
primary: "wear and tear"
secondary: specific cause |
|
|
Term
| Primary OA is associated with what |
|
Definition
|
|
Term
| Primary OA tends to develop around what age |
|
Definition
|
|
Term
|
Definition
Obesity
Genetics
Disease
Inactivity |
|
|
Term
| Secondary OA is typically dx when |
|
Definition
| earlier than primary, 45-50 |
|
|
Term
| Potential contributing factors to DJD/OA: (3) |
|
Definition
congential hip dysplasia
slipped femoral capital epiphysis
Leg length discrepancy |
|
|
Term
| Potential contributing factors to DJD/OA: what is congenital hip dysplasia (3) |
|
Definition
| abnormal shape or formation of the hip articulation which causes congenital dislocation and Femoral Acetbaulr Impingement (FAI) |
|
|
Term
| Potential contributing factors to DJD/OA: what is a slipped femoral capital epiphysis (SCFE) |
|
Definition
| displacement of the femoral epiphysis |
|
|
Term
| Potential contributing factors to DJD/OA: population affected and sign |
|
Definition
adolescent
"limping child" |
|
|
Term
| Potential contributing factors to DJD/OA: how does a Leg length discrepancy contribute to DJD/OA |
|
Definition
| alters loading mechanisms of the LE |
|
|
Term
| DJD/OA: tissue changes usually d/t what |
|
Definition
| reaction to increased stress over time |
|
|
Term
| DJD/OA: what happens to articular cartilage |
|
Definition
| undergoes fibrillation and breaksdown |
|
|
Term
| DJD/OA: what happens to jt space |
|
Definition
|
|
Term
| DJD/OA: what happens to subchondral bone |
|
Definition
| becomes more dense or sclerotic |
|
|
Term
| DJD/OA: formation of what |
|
Definition
|
|
Term
| DJD/OA: Exam findings: hx: onset |
|
Definition
| insidious onset of groin or lateral hip/thigh pain |
|
|
Term
| DJD: Exam findings: hx: later pain referral pattern |
|
Definition
| referred to anterior thigh and medial knee |
|
|
Term
| DJD: Exam findings: hx: when is pain first identified |
|
Definition
| after prolonged weight bearing activities |
|
|
Term
| DJD: Exam findings: hx: when is pain identified later? |
|
Definition
|
|
Term
| DJD: Exam findings: hx: how is pain reduced later into the progression |
|
Definition
| reduced with minimal activity |
|
|
Term
| DJD: Exam findings: hx: how is pain worsened later in the progression |
|
Definition
|
|
Term
| DJD: Exam findings: hx: type of constant pain |
|
Definition
| aching pain may become constant |
|
|
Term
| DJD: Exam findings: hx: functional limitations that may be present |
|
Definition
walking
dressing
shoe tying |
|
|
Term
| DJD: Exam findings: Physical Exam: gait patterns (3) |
|
Definition
antalgic gait
trendelenburg
compensated gluteus medius gait |
|
|
Term
| DJD: Exam findings: Physical Exam: LE physical observation |
|
Definition
|
|
Term
| DJD: Exam findings: Physical Exam: ROM (3) |
|
Definition
global loss of ROM
Decreased jt play with all movements
Capsular pattern |
|
|
Term
| DJD: Exam findings: Physical Exam: MMT |
|
Definition
| weakness of gluteus medius |
|
|
Term
| DJD: Exam findings: Physical Exam: associated pain |
|
Definition
|
|
Term
| Pain patterns associated with end stage OA from most to least likely |
|
Definition
groin
anterior thigh
buttock
anterior knee
greater trochanter
Low back
Shin
calf
Posterior thigh |
|
|
Term
| DJD: Dx accuracy: PROM loss |
|
Definition
| in 3 or more planes for Ext, ER, IR, Abd, and flex |
|
|
Term
| DJD: Dx accuracy: presence of 5 predictors |
|
Definition
pain with squatting
lateral pain with hip flexion
passive IR =<25 degrees
Pain with hip extension
(+) faber
(+) Hip scour |
|
|
Term
| DJD: Indications for PT: Five variables for predictor of response to PT |
|
Definition
Unilateral hip Pain
Age 58
6/10 pain
40 m self paced walk test time (25.9 seconds)
Duration of symptoms of 1 year |
|
|
Term
| DJD: Indications for PT: Response to PT if 1 of 5 variables present |
|
Definition
|
|
Term
| DJD: Indications for PT: Response to PT if 2 of 5 variables present |
|
Definition
|
|
Term
| DJD: Indications for PT: Response to PT if 3+ of 5 variables present |
|
Definition
|
|
Term
| DJD: radiographic exams: (2) |
|
Definition
|
|
Term
| DJD: radiographic exams: plain film views |
|
Definition
|
|
Term
| DJD: radiographic exams: clinical note |
|
Definition
| must correlate imaging studies with clinical exam findings |
|
|
Term
| DJD: PT: is dependent on what? |
|
Definition
| stage of disease process/irritability |
|
|
Term
| DJD: PT: pt education/activit modification includes what (4) |
|
Definition
low impact ex (bike, elliptical, swim, water jog)
shoe lift if LLD
weight loss consultation
use of AD (canes) |
|
|
Term
| DJD: PT: restore jt mechanics how (5) |
|
Definition
thrust/non thrust manips
stretching
strengthening of core mm
strengthening of hip stabilizers (glute med)
soft tissue manips |
|
|
Term
| DJD: PT: used on every other condition |
|
Definition
| physical agents (heat, ice, estim, US) |
|
|
Term
| DJD: Pharmacologic mgmt: use dependent on what (2) |
|
Definition
stage of disease process/irritablity
comorbidites/intolerance |
|
|
Term
| DJD: Pharmacologic mgmt: drugs used |
|
Definition
NSAIDS/aceitaminophen
intra-articular injections
OTC supplements: Glucoasmine/fish oil |
|
|
Term
| DJD: Pharmacologic mgmt: how is the intra-articular injection performed |
|
Definition
| done with fluoroscopic or US guidance |
|
|
Term
| DJD: Pharmacologic mgmt: intra-articular injections: duration of efficacy |
|
Definition
|
|
Term
| DJD: Pharmacologic mgmt: intra-artcular injections include what (2) |
|
Definition
viscosupplementaiton with hyaluronic acid
corticosteroid intra-articular injections |
|
|
Term
| Tronchanetric bursitis: onset |
|
Definition
insidious
trauma or snapping sensation is felt while getting out of a car |
|
|
Term
| Tronchanetric bursitis: pain locatoin (3) |
|
Definition
lateral hip and knee
may radiate following L5 dermatome distal to knee
sometimes experience referred pain to lumbar region |
|
|
Term
| Tronchanetric bursitis: pain aggravated by what |
|
Definition
stair climbing
rolling onto involved side at night |
|
|
Term
| Tronchanetric bursitis: exam findings: observation |
|
Definition
|
|
Term
| Tronchanetric bursitis: exam findings: A/PROM (2) |
|
Definition
A/P abduction may be painful d/t compression of bursa against pelvis
empty end feel |
|
|
Term
| Tronchanetric bursitis: exam findings: MMT |
|
Definition
| pain with resisted abduction, extension, and external rotation |
|
|
Term
| Tronchanetric bursitis: exam findings: PROM only |
|
Definition
| pain with passive hip flexion, adduction, and internal rotation |
|
|
Term
| Tronchanetric bursitis: exam findings: test resutls |
|
Definition
| (+) Ober's for pain reproduction and tightness of ITB |
|
|
Term
| Tronchanetric bursitis: exam findings: palpation |
|
Definition
| focal tenderness over the posterolateral aspect of the greater trochanter |
|
|
Term
| Tronchanetric bursitis: Intervention: this step 1 with this interventions |
|
Definition
resolve chronic inflammatory process through rest and use of physical agents
COntinuous US/iontophoresis |
|
|
Term
| Tronchanetric bursitis: Intervention: pt Education/pt resonbility (3) |
|
Definition
pillows arranged to keep from rolling onto involved side
avoid stairs and long walks
Assistive device if highly irritable |
|
|
Term
| Tronchanetric bursitis: Intervention: Stretching |
|
Definition
| techniques to lengthen a tight ITB |
|
|
Term
| Tronchanetric bursitis: Intervention: strengthening |
|
Definition
|
|
Term
| Tronchanetric bursitis: Intervention: address static/dynamic structures |
|
Definition
| address foot mechanics and dynamic Q angle if needed |
|
|
Term
|
Definition
| damage to some or part of the contractile unit d/t overuse (chronic strain) or overstress (acute strain) |
|
|
Term
|
Definition
mild (grade 1)
moderate (grade 2)
severe (grade 3) |
|
|
Term
| Muscle Strain: grade 1 (4) |
|
Definition
little tissue disruption
low grade inflammation
resisted testing painful and strong
no ROM loss |
|
|
Term
| Muscle Strain: grade 2 (3) |
|
Definition
some tissue disruption but not complete
resisted testing painful and weak
ROM decreased |
|
|
Term
| Muscle Strain: grade 3 (3) |
|
Definition
complete rupture of mm
resisted testing painless and weak
palpable or visible defect visible |
|
|
Term
| Muscle Strain: most common mm of the hip affected (4) |
|
Definition
hs
adductor longus
iliopsoas
rectus femoris |
|
|
Term
| Muscle Strain: Same or opposite rule |
|
Definition
| active and passive painful and limited in opposite directions with painful resisted testing |
|
|
Term
| Muscle Strain: Hamstrings: site affected |
|
Definition
mm belly
proximal aspect of mm involved near origin |
|
|
Term
| Muscle Strain: Hamstrings: most common injury (2) |
|
Definition
1 or 2, 3 is rare
Avulsion of ischial tuberosity more common |
|
|
Term
| Muscle Strain: Hamstrings: rehab for minor injuries |
|
Definition
|
|
Term
| Muscle Strain: Hamstrings: rehab for severe injuries |
|
Definition
|
|
Term
| Muscle Strain: Hamstrings: quad hamstring ratio |
|
Definition
|
|
Term
|
Definition
|
|
Term
| HS Tendinosis Recovery (early) |
|
Definition
|
|
Term
| HS Tendinosis Recovery (late) |
|
Definition
|
|
Term
| HS Tendinosis Tx (conservative) |
|
Definition
encourage collagen synthesis
maturation
strength |
|
|
Term
|
Definition
|
|
Term
| HS Tendinitis recovery (early) |
|
Definition
|
|
Term
| HS Tendinitis Recovery (Late) |
|
Definition
|
|
Term
| HS Tendinitis tx conservative |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Adductor injury: occurs how |
|
Definition
| in sports requiring quick acceleration and direction changes |
|
|
Term
| Adductor injury: most common injury |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| usually d/t rapid deceleration |
|
|
Term
|
Definition
| typically mid thigh or approx 8 cm from proximal insertion |
|
|
Term
| Mgmt of mm strains: when is the acute phase |
|
Definition
|
|
Term
| Mgmt of mm strains: stage 1 is considered what phase |
|
Definition
|
|
Term
| Mgmt of mm strains: when does stage II begin |
|
Definition
| after reduction of acute symptoms |
|
|
Term
| Mgmt of mm strains: stage I tx (3) |
|
Definition
|
|
Term
| Mgmt of mm strains: stage II tx (4) |
|
Definition
gentle ROM
isometric ex
modalities for swelling
friction massage |
|
|
Term
| Mgmt of mm strains: stage III begins when |
|
Definition
|
|
Term
| Mgmt of mm strains: stage 3 tx |
|
Definition
same as stage 2 but begin pain free isotonic and isokinetic
include stretching and aerobic conditioning |
|
|
Term
| Mgmt of mm strains: when does stage IV begin |
|
Definition
ROM 95% of normal
strength 75% of normal |
|
|
Term
| Mgmt of mm strains: Stage IV tx |
|
Definition
| begin sport specific ex with emphasis on endurance and coordination activities |
|
|
Term
| Mgmt of mm strains: when does stage 5 begin |
|
Definition
|
|
Term
| Mgmt of mm strains: stage 5 tx |
|
Definition
return to sport with proper education
warm up, stretching, strengthening |
|
|
Term
| Purpose of the sign of the buttock |
|
Definition
| R/O less serious conditions in the buttocks/hamstring region |
|
|
Term
| How to perform the sign of the buttock |
|
Definition
SLR to point of limitation d/t pain
Flex Knee and see if ROM increases |
|
|
Term
| Sign of the buttock if the test is negative |
|
Definition
| ROM increases when the knee is bent |
|
|
Term
| Sign of the buttock if it is positive |
|
Definition
|
|
Term
| a positive sign of the buttock would require what example conditions to be r/o (6) |
|
Definition
ischial bursitis
neoplasm
abscess of the buttock
osteomyelitis
fx of sacrum
septic bursitis/arthritis |
|
|
Term
|
Definition
| contusion to lateral hip resulting from a blow to the iliac crest |
|
|
Term
| A hip pointer will most frequently involve injury to what structure |
|
Definition
|
|
Term
| A hip pointer MAY involve a tear in these structures (not TFL) [3] |
|
Definition
External oblique
Periostitis of the iliac crest
Contusion to the greater trochanter |
|
|
Term
|
Definition
RICE
crutches
ice massage
gradual stretching
physical agents as needed
progressive strengthening |
|
|
Term
| Sports Hernia/Athletic Pubalgia: what is it |
|
Definition
| strain or tear of any soft tissue (mm, tendon, ligament) in the lower abdomen or groin area |
|
|
Term
| Sports Hernia/Athletic Pubalgia: usual MOI |
|
Definition
| sports requiring rapid twisting activity |
|
|
Term
| Sports Hernia/Athletic Pubalgia: why does the medical community prefer athletic pubalgia |
|
Definition
| because different tissues may be affected and a traditional hernia may not exist |
|
|
Term
| Sports Hernia/Athletic Pubalgia: possible mm/structures affected (7) |
|
Definition
external obliques
internal obliques
trasnversus
inguinal ligament
fascia transversalis
pubic tubercle |
|
|
Term
| sign in children that is not normal |
|
Definition
|
|
Term
| If you see a limping child, what must be r/o first |
|
Definition
|
|
Term
| Limping Child: watershed area for prognosis of pediatric hip conditoins |
|
Definition
|
|
Term
| Limping Child: why is 8 years the watershed area for prognosis of pediatric hip conditions |
|
Definition
| time most acetabular development is complete |
|
|
Term
| Limping Child: if the child comes in with a complaint of this area, what else must be examined |
|
Definition
| if cc is knee, examine hip as well |
|
|
Term
| Limping Child: what test may provide early indicaiton of underlying hip abnormalities |
|
Definition
| hip flexion-adduction test |
|
|
Term
| Slipped Femoral Capital Epiphysis: what is it |
|
Definition
| displacement of the head or proximal femoral epiphysis |
|
|
Term
| Slipped Femoral Capital Epiphysis: higher incidence in what population |
|
Definition
|
|
Term
| Slipped Femoral Capital Epiphysis: populations at incrased risk (2) |
|
Definition
African americans
endocrine abnormalities |
|
|
Term
| Slipped Femoral Capital Epiphysis: S/S (4) |
|
Definition
acute/chronic onset
C/o Limping and/or pain in hip, thigh, groin, or knee
Limited ROM (IR esp)
May show shortening of involved leg |
|
|
Term
| Slipped Femoral Capital Epiphysis: tx |
|
Definition
| surgical pinning with screw fixation |
|
|
Term
| Slipped Femoral Capital Epiphysis: post op PT tx (3) |
|
Definition
| ROM, strengthening, protected PWB with crutches |
|
|
Term
| Slipped Femoral Capital Epiphysis: potential complication |
|
Definition
|
|
Term
| Legg-Calve-Perthes (LCP): what is it |
|
Definition
| idiopathic avascular necrosis of femoral head |
|
|
Term
| Legg-Calve-Perthes (LCP): typical age and poulation |
|
Definition
ages 5-9
4:1 ratio of males to females |
|
|
Term
| Legg-Calve-Perthes (LCP): unilateral vs bilateral occurence |
|
Definition
| occurs bilaterally in 12% of cases |
|
|
Term
| Legg-Calve-Perthes (LCP): what decreases prognosis |
|
Definition
| greater than 9 years at onset |
|
|
Term
| Legg-Calve-Perthes (LCP): progression (4) |
|
Definition
avascular stage
fragmentation
re-ossification
fully heals in approx 18-24 mos |
|
|
Term
| Legg-Calve-Perthes (LCP): pre-op PT interventions |
|
Definition
| maintain/regain ROM especially ABD |
|
|
Term
| Legg-Calve-Perthes (LCP): why is maintaing ABD importnat |
|
Definition
| maintain femoral head in acetabulum |
|
|
Term
| Legg-Calve-Perthes (LCP): pre-op bracing considerations |
|
Definition
into ABD
Scottich-Rite Hospital Orthosis |
|
|
Term
| Legg-Calve-Perthes (LCP): surgical intervnetions |
|
Definition
Salter's osteomy
PRoximal femoral osteotomy |
|
|
Term
| Legg-Calve-Perthes (LCP): post-op PT tx |
|
Definition
| Regain ROM and strength and progress weight bearing status |
|
|
Term
| Avascular necrosis: associated with what (5) |
|
Definition
long term corticosteroid use
long term alcohol abuse
long term drug abuse
Previous fx
SCFE |
|
|
Term
|
Definition
| insidious onset of dulla ching pain in groin, lateral hip, buttock |
|
|
Term
|
Definition
symptomatically
protected weight bearing
strengthening ex |
|
|
Term
| Avascular necrosis: surgical intervention |
|
Definition
| jt replacement often indicated |
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): 3 variations |
|
Definition
internal
external
intra-articular |
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): internal caused by what |
|
Definition
| iliopsoas snapping over femoral head or lesser trochanter |
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): internal has pain where |
|
Definition
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): external is caused by what |
|
Definition
| ITB or glut med snapping over the greater trochanter |
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): external snapping is more common in what population |
|
Definition
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): external snapping worsens with what |
|
Definition
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): intra articular is caused by what |
|
Definition
loose bodies
labral tears
fx fragments |
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): intervention is based on what |
|
Definition
|
|
Term
| Snapping Hip Syndrome (Coxa Saltans): general intervention concepts (3) |
|
Definition
address mm imbalances
biomechanical factors
symptomatic intervention |
|
|
Term
| Acetabulr Labral tears: most common tear |
|
Definition
|
|
Term
| Acetabulr Labral tears: types of tears (4) |
|
Definition
degenerative
traumatic
idiopathic
associated with inflammatory arthorpathies |
|
|
Term
| Acetabulr Labral tears: pt's may call this injury what |
|
Definition
|
|
Term
| Acetabulr Labral tears: onset/MOI |
|
Definition
may be traumatic
twisting a common mechanism |
|
|
Term
| Acetabulr Labral tears: pain locations |
|
Definition
| groin but may be referred to trochanter and buttock |
|
|
Term
| Acetabulr Labral tears: potential pt ocmplaints (3) |
|
Definition
locking
clicking
sharp pain common |
|
|
Term
| Acetabular Labral Tears: physical exam findings |
|
Definition
pain at extremes of motion
MFIR test painful for anterior superior tears |
|
|
Term
| Acetabular Labral Tears: clnical exams are confirmed with what tests |
|
Definition
MRA with contrast
arthroscopy |
|
|
Term
| Acetabular Labral Tears: PT intervention |
|
Definition
Rest
limited WB
NSAIDS
cortisone injection |
|
|
Term
| Acetabular Labral Tears: surgical mgmt |
|
Definition
| arthroscopic labral resection or repair |
|
|
Term
| Femoral Acetabular Impingement: caused by what |
|
Definition
| repetitive abutment of an abnormal proximal femur and/or acetabulum during terminal ROM of the hip |
|
|
Term
| Femoral Acetabular Impingement: eventually results in what characteristic damage |
|
Definition
| damage to the labrum and acetabular cartilage, depending on the locaiton of the osseous abnormality |
|
|
Term
| Femoral Acetabular Impingement: most common bony abnormalities |
|
Definition
|
|
Term
| Femoral Acetabular Impingement: related to what in the young adult hip |
|
Definition
|
|
Term
| Piriformis syndrome: what is it |
|
Definition
|
|
Term
| Piriformis syndrome: is worse with what (3) |
|
Definition
walking
stair climbing
trunk rotation |
|
|
Term
| Piriformis syndrome: pain with what motions |
|
Definition
| resisted hip ext rot or stretching of piriformis |
|
|
Term
| Piriformis syndrome: when is the function of the piriformis reversed |
|
Definition
|
|
Term
| Piriformis syndrome: intervention |
|
Definition
rest
ice
gentle stretching
NSAIDS
massage
physical agents
STM |
|
|
Term
| Meralgia paresthetica: what is it |
|
Definition
| entrapment of lateral femoral cuntaneous nn as it passes adjacent to ASIS |
|
|
Term
| Meralgia paresthetica: symptoms |
|
Definition
| numbness and tingling to anterolateral thigh |
|
|
Term
| Meralgia paresthetica: may be d/t what |
|
Definition
prgenancy
tool belts
pants (sagging)
direct trauma |
|
|
Term
| Meralgia paresthetica: (+) tinnel's test where |
|
Definition
| inguinal ligament medial to ASIS |
|
|
Term
| Meralgia paresthetica: tx |
|
Definition
| rest, NSAIDS, cortisone injection |
|
|
