Orthopedic Management of the Hip

These flashcards cover the key concepts and procedures related to the orthopedic management of the hip, specifically focusing on range of motion (ROM) measurements.

What is the normal range of motion (ROM) for hip flexion in adults?

120 to 130 degrees.

What position should the patient assume for measuring hip flexion ROM?

Supine with pelvis neutral and knees extended.

When performing hip flexion measurements, which axis is the motion occurring around?

Frontal (medial-lateral) axis.

What is the procedure to measure hip flexion ROM?

Instruct the patient to flex the hip by lifting the thigh off the table, moving their knee towards their chest.

What is the end-feel for normal hip flexion?

Soft due to contact between the muscle bulk of the anterior thigh and the lower abdomen.

What is the normal range of motion (ROM) for hip extension in adults?

15 to 20 degrees.

What position should the patient be in for measuring hip extension?

Prone with knees extended and the hip/pelvis in neutral.

What is the procedure for measuring hip extension ROM?

Instruct the patient to extend the hip by lifting the lower extremity up from the table.

What is the normal end-feel for hip extension?

Firm due to tension in the anterior joint capsule and surrounding muscles.

What is the normal range of motion (ROM) for hip abduction in adults?

40 to 55 degrees.

What position should the patient be in for measuring hip abduction?

Supine with knees extended and hips/pelvis in neutral.

What is the proper procedure for measuring hip abduction?

Abduct the hip by moving the lower extremity laterally.

What is the normal end-feel for hip abduction?

Firm due to ligamentous tension and passive tension in the groin musculature.

What is the normal range of motion (ROM) for hip adduction in adults?

20 to 25 degrees.

What is the procedure for measuring hip adduction?

Adduct the hip by moving the lower extremity medially toward the contralateral lower extremity.

What is the normal range of motion (ROM) for hip internal rotation in adults?

30 to 45 degrees.

What position should the patient be in for measuring hip internal rotation?

Seated with knees flexed to 90 degrees.

What is the procedure for measuring hip internal rotation?

Internally rotate the hip by moving the foot laterally away from the body.

What is the normal end-feel for hip internal rotation?

Firm due to ligamentous tension and tension in the deep external rotator muscles.

What is the normal range of motion (ROM) for hip external rotation in adults?

Typically ranges from 30 to 45 degrees.

What is the procedure for measuring hip external rotation?

Externally rotate the hip by moving the foot medially towards the body.

What is the normal end-feel for hip external rotation?

Firm due to ligamentous tension and tension in the lateral hip musculature.