knes 230 ULL test 2

evaluation

(HOPS) history- mechanism, previous history observation- deformity, swelling, etc. palpation- prigin to insertion special tests- manual muscle testing

hip joint- 'ball and socket'

1. acetabular- femoral joint 2. articulation a. spherical femoral head b. deep acetabular socket 3. anatomy a. increased bony support b. 1/3 femoral head incased in socket

medial thigh muscles

1. adductor brevis 2. adductor longus 2. adductor 4. pectineus 5. gracilis

pelvic girdle (anatomy and function)

1. anatomy- ilium, ischium, pubis 2. function a. skeletal support b. transfer body weight to to lower extremity c. muscle attacment d. visceral protection

hip musculature

1. anterior = flexion 2. posterior = extension 3. medial = adduction 4. lateral = abduction

thigh musculature

1. anterior = flexion 2. posterior = extension 3. medial = adduction 4. lateral = abduction

joint capsule of the hip

1. glenoid labrum a. fibrocartilage b. surrounds femoral head 2. synovial membrane a. tubular sleeve b. encloses hip 3. ligamentum teres a. supply nourishment to femoral head b. acts as a tether for stability

history identification of hip pain

1. has it occurred before 2. pain description 3. exact pain location (referred pain) 4. age and gender

thigh contusion

1. mechanism a. direct trauma 2. symptoms a. anterior thigh pain b. quad transitory pain 3. signs a. hematoma formation b. ecchymosis c. 3rd degree (mytosis pssificans) d. acute treatment

femoral fracture

1. mechanism a. direct trauma to femur b. indirect- torsion 2. symptoms a. sudden pain b. loss of function 3. signs a. false joint motion b. rapid swelling c. deformity- appearance d. treat for shock e. neurovascular

myositis ossificans

1. mechanism: a. direct trauma to muscle b. aggressive quad MOB in early rehab stages c. repeated aggravation 2. symptoms a. pain/loss of function 3. signs: a. palpable mass b. 3-4 weeks post-injury c. surgical excision

6 deep outward rotators of the hip

1. piriformis 2. gemellus inferior 3. gemellus superior 4. obturator internus 5. obturator externus 6. quadratus femoris function: a. dynamic stabilization b. force coupling

hip 'closed packed position'

1. position a. hip extension b. abduction c. internal rotation 2. stabilizers taut: a. ligaments b. joint c. joint capsule

hip 'open (loose) packed position

1. position a. hip flexion b. abduction c. external rotation 2. hip 'unwinding' a. improved motion b. injury consequences

posterior thigh muscles

1. semitendinosus 2. semimembranosus 3. biceps femoris (long head)

manual muscle testing of hamstring

1. subject is prone 2. proximal hand will stabilize the leg 3. distal hand will provide resistance

lateral thigh muscles of the hip

1. tensor fascia lata 2. iliotibial tract

anterior thigh muscels

1. vastus intermedius 2. vastus lateralis 3. rectus femoris 4. vastus medialis

a positive anterior drawer test would indicate which type of injury?

ACT

term refers to a structure on both sides of the body or body part

bilateral

the common term for bulla is the

blister

history of direct trauma to the hip

direct trauma a. hip pointer b. greater trochanteric bursitis c. fractures (pelvic and femoral) d. dislocation

ankle fractures are most commonly associated with forced ankle inversion?

false

eversion sprains are the most common type of ankle sprains?

false

hamstring strain grades

first degree- mild soreness, and point tenderness, minimal loss of ROM second degree- moderate to severe pain, very point tender, hematoma formation, moderate loss of ROM and strength third degree- very severe pain and point tenderness, notable deformity, severe loss of ROM and strength

quadriceps/hamstrings contusion grades

grade one- very superficial bruise with mild hemorrhage, not AROM loss grade two - deeper than grade one, mild pain, swelling, and loss of AROM grade three- moderate pain, swelling, and loss of AROM, notable limp grade four- severe pain, deep hematoma, possible muscle herniation

restricted toe extension at the first MTP joint due to a ridge of osteophytes palpable along the dorsal aspect of the metatarsal head is a hallmark sign of

hallux rigidus

a difference in bilateral height in the ASIS can be indicative of which condition?

leg length discrepancy

posterior thigh muscles --> semimembranosus and semitendinosus origin and insertion

origin: ischial tuberosity insertion: 1. (membrane) -medial condyle of tibia 2. (tendin) - pes anserinus

posterior thigh muscle ---> biceps femoris origin and insertion

origin: 1. long head- ischial tuberosity 2. short head- linea aspera insertion: 1. head of fibula

an excessive q-angle predisposes an individual to which condition?

patella injuries

a highly specialized band of tissue on the plantar surface of the foot that provides support for the longitudinal arch is the

plantar fascia

the gastrocnemius, soleus, peroneals, and tibialis posterior are muscles primarily responsible for which movement of the ankle?

plantarflexion

the square-shaped, weight-bearing bone that permits ankle plantar flexion and dorsiflexion is the

talus

the ankle mortise is made up of the

tibia, fibula, and talus

the anterior talofibular ligament and the calcaneofibular ligament are most commonly associated with inversion ankle sprains?

true

muscles that primarily responsible for resisting lateral displacement of the patella?

vastus medialis oblique