Hip Flashcards
What does Quadrant test for
Hip Jt pathology, OA, capsulitis, labral tear, acetabular impingement
Quadrant technique
Pt supine
Flex hip to 90 deg + flex knee
Rotate leg round in quadrant shape
Apply pressure 2nd time if no pain from first one
+ve Quadrant
Local P or crepitus
Specificity of Quadrant
43
Sensitivity of Quadrant
75-91
Quadrant clinical notes
Approximates acetabulofemoral Jt structures causing irritation in presence of hip patho
What does Fabers test for
Hip Jt pathology, OA, capsulitis, sparin/strain, tight hip adductors
Faber techniques
Flexion, abduction, ext rot of leg
Rest foot on couch to start, then on shin (pillow)
Apply pressure to knee and stabilise opposite hip
+ve Fabers
Test leg remaining above opposite straight leg
-ve Fabers
Indicated by flexed leg falling flat on couch
Specificity of Fabers
50%
Sensitivity of Fabers
30%
What does Fadir test
Ant-sup impingement syndrome, ant labral tear, iliopsoas tendinitis
Fadir technique
Flex, add, int rot
Apply pressure through knee
+ve Fadir
P + reproduction of Pt symptoms without a click or apprehension
Specificity for Fadir
80%
Sensitivity of Fadir
80%
What does post labral test test for
Labral tear, ant hip instability, post-inf impingement
Post labral test technique
Pt supine
Hip into full flex, adduction, int rot as starting position
Extend hip combined with adduction + ext rot
+ve Post laboral test
Groin P
Pt apprehension
Reproduction of symptoms
What does Trendelenburg’s test for
Ability of hip abductors to stabilise pelvis on femur
Trendelenburgs sign technique
Pt to stand on one leg
Normally pelvis on opposite side should rise
+ve Trendelenburgs sign
Dropping of pelvis on opposite side- indicates weak gluteus medias or unstable hip
-ve Trendelenburgs sign
-ve rising of pelvis on opposite side to raised leg
What does Obers test for
Test TFL contracture or P at hip possible trochanteric bursitis
Obers technqiue
Pt sidelying
Flex bottom leg
Drop to leg off couch (affected side
+ve Obers
If Pt leg does not drop off couch
Hamstring contracture test
As in usual hamstring stretch
Repeat bilaterally
Hamstring interpretation
Inability to touch toes- tight hamstring muscle group (contracture)
Hamstring itnerpretation
Some have genetic predisposition causing poor outcome of test
Hamstring contracture commonly associated with LBP
Hip telescoping test
Pt supine
Hip flexed to 90
First downward pressure
Then distract (hand under knee, other hand on top of knee)
Hip telescoping test interpretation
Excessive motion, P or apprehension- dislocation, instability, lig damage
Labral tear test
Pt supine
1. applies PA force over distal thigh and asks Pt to flex hip
- rec fem originates in ant acetabulum, if ant labrum is torn the pull from contraction may cause P
2. Pt in gaenslen position, examiner pushes hanging leg into extension (comp of post labrum- P)
3. Pts knee bent, examiner flexes Pt hip into full flexion and IR
Labral tear spec and sens
8-25
94-98
Labral tear interpretation
P or apprehension- acetabular labral tear, Jt capsule impingment
Rectus femoris contracture test
Supine
Leg off table, other knee held by chest
Leg off- knee bent to 90 (inc validity)
Observes for straight hip extension
Rec fem contracture interpretation
Extension of knee- rec fem contracture
