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Pelvis and Thigh
Ch 8 Pelvis and Thigh
Question | Answer |
---|---|
When complaining of symptoms of deep Hip joint pain? | Coxfemoral joint, reffered from the lumber spine or sacroiliac joint or both. |
When complaining of Symptoms of pain in the pubic region? | Strain to hip adductors |
When complaining of symptoms of pain in the anterior hip? | Strain to hip flexors |
When complaining of symptoms of pain posterior aspect of greater trochanter? | Greater Trochanteric buristis |
When taking history pevlic girdle and hip pathology tend to be ? | Chronic or caused my overuse |
When taking the history, when any changes of training techniges what three things could it be? | change in Surface, footwear, alterations in training technique intensity. |
Training on a banked surface or additions of hills can lead to? | greater trochantor bursitis, Hip flexor bursitis |
Change in training such as increased of intensity, frequency, or duration, lead to? | Stree fractures |
A direct blow to the iliac creat, would cause? | Contusion( hip pointer) |
direct blow to the buttocks or directly falling on the buttocks, would cause? | Contusion of the coccyx or ishium, sacroiliac pathology. |
The athlete complains of sudden pain ( during eccentric contraction of a muscle), this could be? | A strain to that muscle |
Athlete complains of graudual pain of a area, this could cause? | A stress fracture or tendinitis |
If a patient has prior medical condition of congenital abnormalities of the hip, this could affect them in what way? | Altered biomechanics of hip, knee or ankle during adulthood |
Proir medical condition of legg-calve perthes disease, would affect the person in what ways? | residual flattening of the proximal femoral epiphsis, can reasult in decreased hip internal rotation and adduction. |
Prior medical condition os slipped capital epiphsis, could affect the person how? | excessive external rotation of the hip and restricted or painful internal rotation. |
What is the angle of inclination? | relationship of fermoral head and the femoral shaft. may be determined by observing the relationship between the femur and tibia |
What does coxa valga mean, when looking at the angle of inclination? | An increase in the angle, normal is 125 degrees. |
What does coxa vara mean, when looking at angle of inclination? | A decrease in the angle, lower than 125 degrees |
What could cause Coxa Valga? | may be caued through either genu varum or a laterally positioned patellae |
What could cause Coxa Vara? | May lead to genu valgum or medially postioned patellae ( squinting patella) |
Both Coxa valga and Coxa Vara are a result in what kind of mechanical advantage? | Decreased mechanical advantage of the gluteus medius by altering its line of pull on the femur |
When taking the geniometry for Hip adduction and abduction, where is the fulcrum? | Over the ASIS |
When taking Geniometry for adduction and abduction where is the stationary arm? | The distal portion of the stationary arm is placed over the opposite ASIS |
When taking Geniometry for adduction and abduction where is the moving arm? | Long axis of the femur middle of the patella as the distal reference. |
Geniometery of internal and external rotation, where is the fulcrum? | The center of the patella |
Geniometery of internal and external rotation, Where is the moving arm? | Long axis to the tibia , the center of the talocrural joint |
Geniometery of internal and external rotation , where is the stationary arm ? | held perdenicular to the floor |
When perfoming the the craigs test or angle of torsion where is the geniomater? | Distal to the knee, stationary arm perpendicular to the tabletop( dital reference middle of the glute) Movig arm middle of the tibia( talocrual ditial reference) |
Internal rotation of the hip normal degree is? | 45 degrees |
External rotation of the hip normal degree is ? | 50 degrees |
What is the Thomas test for? | Hip flexor tignhtness |
Pefroming the thomas test if the patient has tightness of the rectus femoris what is a postive sign? | The lower leg moves into extension |
Thomas test, postive sign for iliopsoas muscle group tightness? | The involves leg rise off the table |
Trengelenburgs test is testing for? | Gluteus medius weakness |