Hip

Question 1

Faber test - SIJ, hip adductors, intra-articulate hip pathology

Answer 1

Start on unaffected side and then go to affected side.
Pt in supine, get pt to flex, abduct and externally rotate the femur by placing the lateral malleolus of the side being tested on the opposite knee.
Stabilise the pelvis at the ASIS on the opposite side while applying pressure over the medial aspect of the knee on the side to be tested.
+’ve test = recreation of patient’s symptoms not just pain.

Question 2

FADIR test - FAI, labral tear

Answer 2

Pt in supine with affected leg in approximately 90 degrees of flexion.
Adduction and internally rotate hip.

Reproduction of groin pain may indicate hip impingement.

Question 3

Thomas test - hip flexor contractures, ITB

Answer 3

Pt in supine and 1st check for excessive lumbar lordosis which is usually present if pt has tight iliopsoas.
Ask pt to bring knee as far to chest as possible and hold it.
Ask pt if they can feel a stretch in the groin.
+’ve test = will see that the extended leg is lifting off the table. (Can measure angle as reference).
If extended leg is not lifting off table, but abduction = J-Sign or stroke = tight ITB/VL

Question 4

Kendall test - rec fem contracture

Answer 4

Pt in supine with both legs hanging off of bed @ knees.
Ask pt to bring on knee to chest and hold it.
+’ve test = knee of hanging leg is extending and cannot remain @ 90 degrees of flexion = slight contracture in Rec fem.
Ask pt iF they can feel a stretch in the muscle.

Question 5

Ober’s test - TFL contractures, ITB

Answer 5

Pt in side lying with bottom leg in slight hip and knee flexion to offer stability to pt.
Keep pelvis in neutral position and stabilise with one hand.
Abduct the leg and extend the hip with the other hand.
Holding the pelvis stable, slowly adduct the leg, maintaining the hip extension.
If the knee goes into adduction = negative test and no tightness in ITB.
If the knee stays still = possible ITB contracture.

Question 6

Fulcrum test - femur stress fracture

Answer 6

Pt in sitting with legs hanging off bed.
Place one hand under the pts thigh and support your hand in their other leg.
This position creates a fulcrum to allow for stress.
Other hand grabs the femur distally, above the patella and push down distally creating stress across the fulcrum.
+’ve response = patient will complain of sharp pain.
If the test is -‘ve, move bottom leg more proximally and retest.