hip

Question 1

scour test (quadrant)

Answer 1

-Patient supine
-Practitioner stands on side of leg being tested
-Leg draws out 4 corners of a square–> flexes and adducts then abducts
-Compress leg whilst up
May cause impingement of femoral neck against acetabular rim and pinches adductor longus, pectineus, iliopsoas, sartorius and/ or tensor fascia latae- perform with care
testing= hip joint pathology- osteoarthritis, capsulitis, labral tear, acetabular impingement
positive test= Pain/ crepitus (may indicate arthritis)

Question 2

FABERE test (patrick’s)

Answer 2

-Flexion, abduction and external rotation
-Patient lies supine
-Test leg is placed on top of knee of opposite leg
-Knee is pushed down to the couch
testing= Hip joint pathology, OA, capsulitis, sprain/ strain, tight hip adductors
positive test= Test leg remains high (inability to perform test)
Local Pain

Question 3

FADIR’s test

Answer 3

-Flexion, adduction and internal rotation
-anterior apprehension test
-supine position
-examiner takes hip into full flexion, lateral rotation and full abduction. Hip is then extended, medially rotation and adduction
Places strain on anterolateral labrum
testing= Anterior/ superior impingement syndrome, anterior labral tear, iliopsoas tendinitis
positive test= Pain
Reproduction of symptoms

Question 4

post labral tear

Answer 4

-patient supine position
-examiner takes hip into full flexion, adduction and medial rotation
-examiner then takes hip into extension combined with abduction and lateral rotation
testing= Labral tear, anterior hip instability, posterior/ inferior impingement
positive test= Production of groin pain, patient apprehension, reproduction of patient’s symptoms

Question 5

trendelenburgs sign

Answer 5

-patient supine position
-examiner takes hip into full flexion, adduction and medial rotation
-examiner then takes hip into extension combined with abduction and lateral rotation
Perform test on asymptomatic side first
-patient stands on one lower limb
Pelvis on opposite side should rise
-may be asked to do a single leg squat to add difficulty
testing= Stability of hip and ability of hip abductors to stabilise pelvis on femur
positive test= pelvis on opposite side drops when stood on one limb (indicates weak gluteus medius. Unstable hip)

Question 6

ober’s test

Answer 6

-Patient lies in a side lying position with lower leg flexed at the hip and knee to stabilise
-Practitioner abducts and extends patients upper leg with knee flexed at 90 degrees or straight
-Practitioner slowly lowers upper limb. If contracture is present, then the leg will remain abducted and will not fall.
-Hip must remain extended slightly so IT band crosses over greater trochanter–> osteo must stabilise pelvis to do this
testing= Tensor fasciae latae (IT band) contracture
Trochanteric bursitis
positive test= Tight ITB or trochanteric bursitis