Hip

Question 1

Iliacus

Answer 1

Model lying in side lying with the hip and knee supported and flexed to 90 degrees. Place your fingers on the anterior aspect of the hip 3.5 cm below inguinal ligament. Ask model to flex and extend the hip slowly and palpate laterally. Add some resistance

Question 2

Psoas Major

Answer 2

Model lying in side lying with the hip and knee supported and flexed to 90 degrees. Place your fingers on the anterior aspect of the hip between the ASIS and the bellybutton. Ask model to flex and extend the hip slowly and add resistanceand palpate laterally.

Question 3

Rectus femoris

Answer 3

Straight down the anterior thigh with resisted knee extension and hip flexion

Question 4

Pectineus

Answer 4

Follow steps for iliopsoas but palpate this muscle medially./// palpate from the pubic ramus slightly distally and resist hip adduction and can feel the muscle contract

Question 5

TFL

Answer 5

Anterolateral, between iliac crest and greater trochanter during internal rotation, flexion and abduction

Question 6

Sartorius

Answer 6

Resist hip flexion/external rotation/abduction and knee flexion and palpate superficially from ASIS to medial tibial condyle.

Question 7

Adductor brevis

Answer 7

Very difficult to palpate and differentiate from adductor longus. Adduction of him and external rotation.

Question 8

Adductor longus

Answer 8

Most prominent muscle proximally on anteromedial thigh just inferior to the pubic bone with resisted adduction.

Question 9

Adductor magnus

Answer 9

Medial aspect of thigh between gracilis and medial hamstrings from ischial tuberosity to adductor tubercle with resisted adduction from adducted position.

Question 10

Gracilis

Answer 10

A thin tendon on anteromedial thigh with knee flexion and resisted adduction just posterior to adductor longus and medial to semitendinosus.

Question 11

Gluteus maximus

Answer 11

Running downwards and laterally it is emphasised with hip extension.

Question 12

Semitendinosus

Answer 12

Resist knee flexion and internal rotation and palpate the posterior aspect of the thigh with model in prone position and palpate on medial part.

Question 13

Semimembranousus

Answer 13

Largely covered by other muscles. Tendon can be felt at posteromedial aspect of knee just deep to semitendinosus tendon with resisted knee flexion and internal rotation

Question 14

Biceps femoris

Answer 14

Resisted knee flexion and external rotation on the posteromedial aspect of the distal thigh

Question 15

Gluteus Minimus

Answer 15

Lies anterior to gluteus medius and is covered by TFL. Palpate between anterior illiac crest and greater trochanter during internal rotation and abduction

Question 16

Gluteus medius

Answer 16

Have the model in left side lying position and place your fingers just distal to the level of the iliac crest and ask them to raise and lower their right leg and palpate the contraction.