Hips Don't Lie

Anatomy

100

What is considered "normal" for the angle of inclination?

125 deg. (changes throughout life)

200

Bursa in the hip (there are 4)

trochanteric, gluteofemoral, ischial, iliopsoas

300

What 3 things run thru the femoral triangle?

femoral nerve, femoral artery, femoral vein

400

GOGOs

gemellus inferior, gemellus superior, obturator externus, obturator internus

500

Femoral Triangle

inguinal ligament (superior), sartorius (lateral), adductor longus (medial)

Special Tests

100

Tight rectus femoris/ iliopsoas group

Thomas Test

200

Tight rectus femoris

Ely Test

Hip on side being tested rises

300

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)

400

Resisted hip ABD with patient seated 

reproduce symptoms Piriformis Syndrome

500

flexion, abduction, external rotation, extension

FABER- SI joint or hip

MMT

100

Iliopsoas (iliacus, psoas major/ minor)

knee flexion

200

Glute max

Hip extension (bend the knee, drive heel to ceiling)

300

Piriformis, GOGOs, Quadratus femoris

external rotation

400

muscles that get tested with ADD

adductors MLB, gracilis, pectineus

500

Hip flex/ ER/ ABD- knee ER/ flex (all at once)

Sartorius (heel drag)

Injuries

100

Chronic pubic region/ inguinal pain, unbalanced tension, insidious, Pain with resisted ADD but not tender on adductors

Inguinal disruption
(Athletic Pubalgia/ Sports Hernia)

200

Internal- iliopsoas over femoral head

External- ITB over GT

Snapping Hip Syndrome

300

Femoral heads slip @ epiphyseal plate, occurs most in boys 12-15, MOI: obesity and growth plates

Slipped Capital Femoral Epiphysis (SCFE)

400

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

500

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)

Neurological

100

Lumbar plexus

T12-L4 (from femoral and obturator nerves)

200

Motor branch of femoral nerve innervates what

Hip flexors and knee extensors

300

Which muscle may compress the sciatic nerve

Piriformis

400

Which nerve is likely to give symptoms of pain in the anterior thigh region

Femoral nerve

500

Talk through LQS

Myotomes, Dermatomes, Reflexes