ATHT 802 - Hip, Pelvis, & Groin Review

Anatomy

100

What four muscles make up the quadriceps group?

Rectus Femoris

Vastus Lateralis

Vastus Intermedius

Vastus Medialis

200

What type of joint is the pubic symphysis?

Cartilaginous (Amphiarthrotic)

300

What are the actions of the sartorial?

Flex the hip

Flex the knee

400

Name 5 muscles that laterally rotate the hip

Gluteus maximus (all fibers)

Piriformis

Quadratus femoris

Obturator internus

Obturator externus

Gemellus superior

Gemellus inferior

Gluteus medius (posterior fibers)

Psoas major

Iliacus

Sartorius

Biceps femoris (long head, assists)

500

This structure attaches the L4 & L5 transverse processes to the posterior iliac crest

Iliolumbar Ligament

Observations & Abnormalities

100

This abnormality may appear as toe-out gait

Hip Retroversion

200

What is a "normal" neck-to-shaft angle of the femur?

120-135 degrees

300

This occurs when the femoral neck-to-shaft angle is less than 120 degrees

Coxa Vara

400

This is measured from ASIS to Medial Malleolus

True Leg Length

500

Hip Anteversion and Genu Valgum may have what effect on Q Angle

Increase Q Angle

ROM, Strength, Neuro, Pulses

100

What are the myotomes associated with hip flexion?

L1 & L2

200

What is the location that you would use to test sensation of the L5 dermatome?

Lateral knee, anterior lower leg, or toes 2-4

300

What is the primary muscle tested when performing manual muscle testing on hip extension with the knee flexed?

Gluteus Maximus

400

How would you position the leg to isolate the sartorius when performing manual muscle testing?

Hip Flexion, Abduction, External Rotation

500

This peripheral nerve motor function is tested through Hip abduction

Superior Gluteal Nerve

Injuries

100

Name 4 common conditions that might involve radiating groin pain.

•Muscle strain

•Lymph node infection and inflammation

•Inguinal and femoral hernia

•Kidney stones

•Legg-Calve-Perthes disease

•Referred pain from lumbar region

•Sacroiliac joint dysfunction

•Labral pathology

•Stress fracture of the femoral neck

•Synovitis of the hip joint capsule

•Trochanteric and iliopsoas bursitis

•Apophysitis

•Epiphyseal injury

200

This injury occurs when there is a direct blow to the iliac crest and is associated with considerable pain, hemorrhage along the superficial crest, and pain with sneezing or coughing

Hip Pointer

300

Name 2 common locations for avulsion fractures

AIIS, Pubic ramus, Lesser trochanter, Ischial tuberosity

400

This injury is also known as snapping hip syndrome

Trochanteric bursitis

500

This condition involves avascular necrosis of the proximal femoral epiphysis and diminished vascularization to the epiphyses in children with an unknown reason of origin

Legg-Calve-Perthes Disease

Special Tests

100

This test is performed by having the patient laying back on the table with the legs straight in front of them and asking them to pull the opposite knee to their chest. You are looking for the leg to rise from the table.

Thomas Test

200

What is one special test you would use to determine if pain is caused by a lumbosacral neuropathy?

Lumbar Quadrant Test

Femoral Nerve Traction Test

300

What test would you use to test for gluteus medius weakness?

Trendelenburg test

400

When performing the Fitzgerald test for an anterior hip labrum pathology, what is the starting position and the ending position of the test?

Start • Flex, ABD, ER  

End • Ext, ADD, IR

500

What are 4 special tests for SI joint Dysfunction?

•FABER/Patrick’s Test 

•Gaenslen’s Test 

•Sacral Thrust Test 

•Anterior Sacroiliac Distraction Test 

•Anterior Sacroiliac Compression Test 

•Posterior Distraction Test 

•Thigh Test