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60 Cards in this Set
- Front
- Back
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what is sacroiliacitis? |
px in the SIJ region or groin |
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what are some symptoms with sacroiliacitis? |
referral to post thigh walking pxful wakes pt |
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when can sacroiliactiis occur? |
AS - men 18-30 pregnancy - relaxin hormone |
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what is the order of most to least common pelvic fractures? |
pubic rami ilial ishial acetabular coccygeal sacral bones |
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what are some key points to ask about with pelvis fracture? |
associated trauma? major bleeding visceral injury stable or unstable fracture |
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what are characteristic of a stable fracture generally? |
low energy minimally displaced pelvic ring broken at one level avulsion fracture at ASIS and AIIS |
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what characteristics does an unstable pelvic fracture have? |
high energy complex fracture 2 point dissruption, major blood loss, and visceral injury |
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what are some of the complication for healing a pelvic fracture? |
- hemorrhage - bladderr/bowel injury - neurological damage - obstetrical difficulties (childbearing) - SIJ px - OA of the hip |
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what are symptoms of viscerogenic pain that refer to the hip groin and buttocks? |
- pelvic organ disorders - inguinal hernia |
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what are symptoms of neurogenic pain that refer to the hip groin and buttocks? |
segmental from spine |
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what are symptoms of spondylogenic pain that refer to the hip groin and buttocks? |
pain paresthesia/anesthesia TOP - glute mms and piriformis weakness of hip flexion |
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where does the hip and groin refer? |
- pain to ant thigh from groin to above knee |
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what does entrapment of the lateral femoral cutaneous nerve lead to? |
meralgia paresthetica |
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what are some specific hip articular pathos with children? |
perthes disease congenital dislocation of the hip slipped capital femoral epiphysis coxa vara |
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what are some specific hip articular pathos with adults? |
arthritis traumatic arthritis OA tuberculosis in hip loose body in hip osteitis pubis |
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who is OA of the hip most common with? |
peopl over 60 |
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how much body weight goes through the hip joint in N walking? |
3x body weight |
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what might secondary OA occur due to? |
- congenital malformation of the hip - prior infection in the jt - fracture - inflammatory disease s/a RA - basically any pre-existing condition the compromises the hip |
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what are some symptoms with OA of the hip? |
- advanced - wakes pt at night - px in thigh or knee - hard time tying shoes or sitting down in tub |
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what is osteitis pubis? |
traumaticc avulsion fracture and the site of adductor tendon attachment onto pubis OR overstress causing chronic inflammation progressing to sclerosis and or degeneration |
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what mms are strained with osteitis pubiss? |
gracilis or adductor longus |
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what is the MOI for ant hip dislocation? |
blow to knee with hip in full abduction |
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which hip dislocation is more common? |
posterior |
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what is the MOI for a posterior hip dislocation? |
severe force to knee with hip flexed and adducted - MVA |
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what is common with a posterior hip dislocation? |
sciatic nerve injury |
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what is trochanteric bursitis? |
inflammation of the trochanteric bursa giving rise to pain in the lateral hip, thigh and knee |
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what can trochanteric bursitis commonly mistaken for? |
degenerative arthritis of hip or lumbosacral spine |
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where is the trochanteric bursa located? |
btwn greater trochanter and glute max |
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what else may trochanteric bursitis occur with? |
DDD of the lower back Degen Arth of hip RA operation overuse |
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what does trochanteric bursitis result in? |
aseptic inflammation of the bursa |
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what is the onset like? |
insidious or sudden |
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who is commonly affected by trochanteric bursitis? |
middle-aged and elderly groups |
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where is the pain felt for trochanteric bursitis? |
lateral aspect of the upper part of the thigh - may radiate from buttock to knee |
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what aggrivates the pain? |
lying on the same side walking running sitting cross-legged |
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what is iliopsoas buritis also known as? |
psoas or iliopectineal bursitis |
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where is the iliopsoas bursa located? |
btwn iliopsoas tendon and capsule of the hip jt |
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where is pain felt with iliopsoas buritis? |
groin and ant thigh |
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what are the AF with iliopsoas buritis? |
mvmts of the hip walking |
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what is noticed on palpation? |
tenderness in groin below inguinal lig |
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what is noticed with ROM? |
ARROM flexion produces pain PROM ext, extreme flex or adduction pain |
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what is the differential diagnosis for iliopsoas buritis? |
inguinal lymphdenitis degenerative arthritis of the hip femoral hernia |
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where is the ischial bursa located? |
over the ischial tuberosity |
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when and where is there pain with ischial bursitis? |
sitting - RF standing felt in glutes and may refer down post thigh |
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what is noticed with ROM during ischial bursitis? |
forward bending and straight leg raising pxful |
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what are some differential diagnosis for ischial bursitis? |
lubosacral strain lumbar radiculopathy tear of the hamstring tendon |
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what is the normal angle of inclination? |
120-130 |
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what is coxa valga in reference to the angle of inclination? |
larger angle |
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what does cova valga increase chances of? |
inferior stability and dislocation |
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what is coxa vara in reference to the angle of inclination? |
smaller angle |
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what does cova vara increase? |
jt stability |
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what is the normal femoral neck angle of torsion? |
10-15 ant |
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what is anteversion? |
femoral torsion increased (toe in) |
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what is retroversion? |
when the angle of torsion is less (toe out) |
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what is anteversion associated with? |
- compesatory internal femoral torsion - excessive hip IR - less hip ER - N ROM - increase reisk of ant hip instability |
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what is retroversion associated with? |
- compensatory external femoral torsion - excessive hip ER - reduced hip IR - N ROM |
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what is absolute leg length? |
distance from most superior point on femoral heat ot point of contact with heel at ground |
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what is anatomical leg length? |
distance from most sup GT and distal end of lateral malleolus |
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what is apparent leg length? |
distance from umbilicus to distal end of med malleolus |
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what is clinical/true leg length? |
distance from ASIS to distal end of lateral malleolus |
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what is relative leg length? |
distance from most sup femoral head to talocrural jt |
