Hip Flashcards
What structures are in the central compartment?
Labrum
Ligamentum teres
Articular surface
What structures are in the peripheral compartment?
Femoral neck
Synovial lining
What structures are in the lateral compartment?
Gluteus medius/minimus
IT band
Deep and superficial trochanteric bursaef
What structures are int he anterior compartment?
Iliopsoas insertion
Iliopsoas bursae
What tests would you use for a central compartment injury?
C-sign Log roll Labral loading/distraction Scour FABER - Apprehension
What tests would you use for a peripheral compartment injury?
Log roll
Ely’s test
Rectus femoris test
What tests would you use for a lateral compartment injury?
Jump sign Straight leg test Ober's test Piriformis test Trendelenburg test FABER
What tests would you use for an anterior compartment injury?
Psoas test
Thomas test
FABER
What does the C-sign test for?
Labral pathology
How do labral loading and distraction work?
pt. supine with knee flexed 90˚ Loading = press down into joint \+ = pain Distraction = pull up away from joint \+ = relief
How does the scour test differ from labral loading/distraction?
In scour you rotate the femur in the socket through an annular ROM
Explain the FABER - Apprehension test.
Pt. places injured side leg across femur of uninjured side
Dr. provides posterior force to knee
+ = pain/apprehension
Explain the Ely’s test.
Pt. prone, Dr. passively flexes knee
+ = ipsilateral hip flexion
Explain the rectus femoris test.
Pt. supine, one leg flexed to chest, other over edge of table
+ = knee flexion
Explain the straight leg test and what it tests.
Pt. supine and Dr. passively flexes hip
+ = lateral pain at 15˚
*Pain >30˚ = lumbar disc etiology
IT band
Explain Ober’s test and what it tests.
Pt. in lateral recumbent
Dr. abducts leg then lowers to table while stabilizing hip
+ = pain, inability to adduct
IT band
Explain the piriformis test.
Pt. supine with hip and knee flexed
One ankle crossed over contralateral knee
Pt. abducts against resistance
+ = pain
Explain the trendelenburg test.
Pt. lifts one foot off ground
+ = weakness in weight bering side gluteus medius creates drop of lifted leg
Explain the psoas test.
Pt. flex hip to 30˚
Pt. further flexes against resistance
+ = pain in anterior thigh
Explain the Thomas test.
Pt. supine pulling knees to chest
One leg lowered to hang off table
+ = inability to extend hip fully
What causes an internal snapping hip?
Psoas snaps over femoral head
What causes an external snapping hip?
IT band snaps over trochanter
