Exam 2- Hip Tests

Question 1

Allis sign aka (Galeazzi sign)

Answer 1

One knee is compared to another

Looking for ipsilateral femoral leg discrepancy ( protrusion of acetabuli, hip dislocation, hip fracture)

Question 2

Anvil Test

Answer 2

Heel pain- could be calcaneous, tibia or fibula fracture depending on pain point

Hip pain- could be arthritis, a femoral neck fracture or infection

Looking for pain in the kinetic chain from heel to acetabulum

Question 3

Gauvain’s sign

Answer 3

Looking for AVN, infection, fracture or gout

Ipsilateral contraction of abdominal muscles
Pain in the hip
Referred pain to the groin or anterior thigh

Question 4

Hip telescoping test

Answer 4

Looking for hip dislocation or hip dysplasia

MC in Mediterranean and Scandinavian women

Looking for excessive joint play or a palpable click in the joint

Question 5

Patricks test

Answer 5

Looking for DJD, OA, RA, SCFE, AVN, fracture, strain/sprain

Pain in the hip or the patient isnt able to perform test

Question 6

Obers test

Answer 6

Affected thigh remains abducted and may be painful or may drop with spastic jerks, indicating ILIOTIBIAL CONTRACTION

Question 7

Thomas test

Answer 7

Looking for flexion contracture or shortening of iliopsoas on affected side

The lumbar spine maintains lordosis or the patient is unable to keep affected thigh flat on the table

Question 8

Trendelenburgs test

Answer 8

Looking for paralysis or weakness of the hip abductors on the affected side, or hip dsyplasia

High iliac crest on supported leg and low iliac crest on the lifted leg

Question 9

Ortolani’s test

Answer 9

Looking for congenital femoral dislocation or instability in the area

Looking for palpable click or clunk