Anatomy
What is considered "normal" for the angle of inclination?
125 deg. (changes throughout life)
Tight rectus femoris/ iliopsoas group
Thomas Test
knee flexion
Chronic pubic region/ inguinal pain, unbalanced tension, insidious, Pain with resisted ADD but not tender on adductors
Inguinal disruption
(Athletic Pubalgia/ Sports Hernia)
Lumbar plexus
T12-L4 (from femoral and obturator nerves)
Bursa in the hip (there are 4)
trochanteric, gluteofemoral, ischial, iliopsoas
Tight rectus femoris
Ely Test
Hip on side being tested rises
Glute max
Hip extension (bend the knee, drive heel to ceiling)
Internal- iliopsoas over femoral head
External- ITB over GT
Snapping Hip Syndrome
Motor branch of femoral nerve innervates what
Hip flexors and knee extensors
femoral nerve, femoral artery, femoral vein
Apply pressure downward along shaft of femur to compress joint surface. Rotate femur internally and externally w/ hip in multiple degrees of flexion
Hip Scouring Test (Hip Quadrant Test)
Piriformis, GOGOs, Quadratus femoris
external rotation
Femoral heads slip @ epiphyseal plate, occurs most in boys 12-15, MOI: obesity and growth plates
Slipped Capital Femoral Epiphysis (SCFE)
Which muscle may compress the sciatic nerve
Piriformis
GOGOs
gemellus inferior, gemellus superior, obturator externus, obturator internus
Resisted hip ABD with patient seated
reproduce symptoms Piriformis Syndrome
muscles that get tested with ADD
adductors MLB, gracilis, pectineus
Ligamentum teres, avascular necrosis of femoral head, flattening of head, osteochondritis condition, common in males 2-14
MOI: high velocity, insidious origin
Legg- Calve- Perthes Disease
Which nerve is likely to give symptoms of pain in the anterior thigh region
Femoral nerve
Femoral Triangle
inguinal ligament (superior), sartorius (lateral), adductor longus (medial)
flexion, abduction, external rotation, extension
FABER- SI joint or hip
Hip flex/ ER/ ABD- knee ER/ flex (all at once)
Sartorius (heel drag)
Altered morphology of femoral head and/ or acetabulum, stresses can cause labral tears, chrondal degeneration, OA
CAM- femoral head, young athletic males
Pincer- acetabulum, middle aged, active females
Femoral Acetabular Impingement (FAI)
Talk through LQS
Myotomes, Dermatomes, Reflexes