TherEx-ch 20

Card Set Information

Author:
laneaustin
ID:
245917
Filename:
TherEx-ch 20
Updated:
2013-11-08 22:04:42
Tags:
Hip pelvis THA
Folders:

Description:
Hip, pelvis, THA
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  1. Pelvic girdle is composed of what?
    • Sacroiliac joint
    • pubic symphysis
    • coxal bones fused of ilium, ischium & pubis
    • 3 ligaments
  2. What is the largest bone in the body?
    Femur
  3. Hip joint is what kind of joint?
    triaxial- 3 planes of osteokinematic motion
  4. Motions of the pelvis
    • ant pelvic tilt
    • post pelvic tilt
    • lat pelvic tilt
    • pelvic rotation
  5. weak abductors?
    patellofemoral impairment
  6. ACL strain
    decreased use of hip extensors
  7. piriformis syndrome is characterized by what?
    weak hip extensors and abductors
  8. Trochanteric Bursitis
    and/or
    IT Band Syndrome
    Shortened TFL and gluteus Maximus
  9. Increased Dynamic Q-Angle
    IT band Syndrome
    dominance of TFL over gluteus medius
  10. Knee pain
    Dominance of TFL, Rectus Femoris, and/or Sartorius over ilopsoas
  11. Cramping of hamstrings and decreased extensibility of hamstrings
    Dominance of hamstrings over gluteus maximus
  12. Signs and symptoms of hip OA
    • pain with active flexion and extension
    • limited passive IR
    • +scour test
  13. Non-op management for hip OA
    • joint mobs
    • decrease compressive forces with assitive devices
    • improve ROM & strength
    • postural awareness and balance
  14. what is a Total Hip-Arthroplasty
    prosthetic acetabulum and femoral head
  15. signs and symptoms for a THA
    severe pain, nonunion fracture, bone tumor, failure of conservative management
  16. Surgical Approach for THA
    • posterolateral
    • anteriolateral
  17. Posterolateral THA approach precautions
    • AVOID:
    • hip flexion >90*
    • adduction
    • IR
  18. Anteriolateral THA approach precautions
    • AVOID:
    • hip flexion >90*
    • adduction
    • ER
    • hip extension >0*
  19. Benefits of Minimally invasive surgical approach for THA
    • incision <10 cm
    • decreased blood loss
    • reduced pain
    • shorter hospital stay
    • quick recovery
  20. Complications with THA
    • DVT
    • infection
    • dislocation
  21. Early goals of THA
    • prevent DVT
    • patient education
    • achieve functional mobility
    • strengthen abduction
    • strengthen glute med
    • avoid flexion contracture
  22. Treatment of cemented THA procedure
    • older pt's
    • FWB or WBAT
  23. treatment of non cemented THA procedure
    • younger pt's
    • stability in 6 wks
    • max stability in 6 months
    • TTWB:6-8 wks
    • limit rotation for 6 wks

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