Term
| Hip close packed position |
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Definition
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Term
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Definition
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Term
| Coxa valga = incr/decr angle of inclination? |
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Definition
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Term
| Coxa vara = incr/decr angle of inclination? |
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Definition
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Term
| Normal angle of inclination of head of femur |
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Definition
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Term
| Consequences of hip anteversion (6) |
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Definition
toed-in gait,
incr Q angle,
hyperpronated feet,
incr lumbar lordosis,
incr IR,
weakness of ER mm |
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Term
| Consequences of hip retroversion (5) |
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Definition
toed-out gait,
decr Q angle,
foot supination,
incr ER,
weakness of IR mm |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Hip stability produced by (5) |
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Definition
1. articular configuration (deep acetabulum)
2. vacuum effect of ball/socket
3. thick capsule/ligts
4. balance of hip mm
5. WB >> stability |
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Term
| Attachments of iliofemoral ligt |
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Definition
AIIS >> intertrochanteric line
(v-shaped) |
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Term
| Attachments of pubofemoral ligt |
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Definition
| iliopubic eminence >> less trochanter |
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Term
| Attachments of ischiofemoral ligt |
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Definition
| inf acetabulum (ischium) >> post femoral neck |
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Term
| Iliofemoral & pubofemoral ligt taut in ___ |
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Definition
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Term
| Functions of articular cartilage (3) |
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Definition
decr friction
absorb compressive forces
maintain jt ht >> stability |
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Term
| Hydrodynamic jt lubrication occurs during ____ phase of gait |
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Definition
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Term
| Hydroelastic jt lubrication occurs during ____ phase of gait |
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Definition
| stance (begins at heel strike) |
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Term
| Early Stage OA of hip S/Sx: traumatic |
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Definition
immediate onset of capsular restriction;
pain on motion, spasm endfeel |
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Term
| Early Stage OA of hip S/Sx: atraumatic |
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Definition
| thinning of cartilage; probably not detectable |
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Term
| Early Stage OA of hip: Rx |
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Definition
Acute: RICE
non-acute: non-WB ROM ex through full ROM |
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Term
| Early Stage OA of hip: histological ∆s |
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Definition
| decr chondrocytes >> decr proteoglycans >> decr water retention >> thinning cartilage |
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Term
| Intermediate Stage OA of hip: histological ∆s |
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Definition
initially painless;
microtrauma to capsule/ligts 2º to excessive jt play >> fibrotic ∆s in periarticular tissues >> decr ROM >> malnutrition of hyaline cartilage;
"joint mice" appear (loose bodies within jt) |
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Term
| Intermediate Stage OA of hip: S/Sx |
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Definition
capsular pattern,
capsular endfeel,
c/o giving way & twinges of pain on WB (2º to loose bodies) |
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Term
| Intermediate Stage OA of hip: Rx |
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Definition
BEST STAGE for PT;
jt mobs,
passive stretching,
exercises to encourage close-packed position |
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Term
| Late Stage OA of hip: histological ∆s |
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Definition
destruction reaches subchondral bone;
jt mice common;
osteophytes appear;
diminished jt space (2º to hyaline destruction);
osteophytosis >> ankylosing of jt;
jt destruction complete & irreversible |
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Term
| Late Stage OA of hip: S/Sx |
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Definition
Gross signs of jt capsule swelling;
gross restriction of motion (capsular pattern);
possible bony endfeel |
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Term
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Definition
| try to regain jt motion & strength at jts in the same kinetic chain |
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Term
| Items included in eval of OA & THA pt (8) |
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Definition
PRECAUTIONS,
safety,
gait,
transfers,
AROM/PROM,
strength,
swelling,
pt goals |
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Term
| Items to analyze in gait c AD (for OA & THA pt) (3) |
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Definition
proper use,
proper fit,
gait pattern |
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Term
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Definition
gait training,
stair training,
transfers,
ROM,
strengthening,
fxnl activities |
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Term
| Common sites of tendonitis in hip (5) |
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Definition
adductors,
piriformis,
TFL,
glut med,
hip flexors (iliopsoas, rectus fem, sartorius) |
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Term
| Pediatric conditions of hip (2) |
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Definition
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Term
| Legg Calve Perthes: etiology |
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Definition
age 2-13,
disruption in blood supply to femoral head,
limp, leg drag, trendelenburg |
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Term
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Definition
| maintain femoral head in acetabulum (abd & IR femur) |
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Term
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Definition
10-17 (boys)
8-15 (girls);
boys>girls |
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Term
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Definition
| hold limb fin flex, abd, ER |
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Term
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Definition
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Term
| Common mechanisms of labral tears (2) |
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Definition
young person c twisting injury (usually ER in hyperext position)
older person c hx of hip/acetabular dysplasia OR repeated pivoting/twisting |
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Term
| Most common location for hip labral tears (directional; 2) |
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Definition
anterior,
anterior superior |
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Term
| S/Sx of hip labral tear (3) |
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Definition
signs of instability (buckling, twinges, locking, painful clicking);
pain mainly in ant groin;
forced add c rotation >> pain |
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Term
| Hip labral tear: exam findings |
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Definition
pain at endrange c overpressure;
flex+rotation >> ant groin pain;
confirm c arthrography (MRI c intra-articular contrast medium) |
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Term
| Diagnostic tests fo labral pathology at hip (4) |
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Definition
passive abd
passive ext
inner quadrant scour
post labrum test |
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Term
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Definition
2-4 PWB (20 lb; crutches),
ROM 30-70º >> 0-90º,
EX IN POOL,
progressive mm strengthening,
return to sports 2-3 mos post-op |
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Term
| Types of bursitis in hip (4) |
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Definition
psoas bursitis,
gluteal bursitis,
ischial bursitis,
trochanteric bursitis |
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Term
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Definition
pain in groin;
pain referred along ant thigh to patellar area;
PROM add in flex & ER >> pain |
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Term
| Gluteal bursitis S/Sx (3) |
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Definition
pain lat to post trochanteric area;
pain referred to outer thigh/leg;
painful on AROM abd |
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Term
| Ischial bursitis S/Sx (2) |
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Definition
pain in sitting when squeezing;
tenderness at/above ischial tuberosity |
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Term
| Trochanteric bursitis S/Sx (3) |
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Definition
pain in lat hip;
pain radiates into L5 along lat thigh;
painful stair climbing & sidelying |
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Term
| Trochanteric bursitis diagnostic test |
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Definition
flex hip fully,
move into add & IR,
compress bursa under glut max |
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Term
| Trochanteric bursitis Rx (5) |
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Definition
pulsed US
find the cause
activity mod
ionto
strengthening |
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Term
| Rx of articular lesions of hip: early acute phase (4) |
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Definition
modalities (for pain),
manual therapy,
exercise,
HEP |
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