hip

Question 1

how do you start a hip exam

Answer 1

enquire about pain
ensure exposure
check which hip you are examining

Question 2

what are the stages of the hip exam

Answer 2

look 
feel 
move
special tests
for completeness

Question 3

what do you do in the look stage

Answer 3

general inspection 
inspect from the front
inspect from the back 
with patient standing 
both hips

Question 4

what do you do in the feel stage

Answer 4

greater trochanter for tenderness

offer to feel the femoral head

Question 5

what do you do in the move stage

Answer 5

asses flexion -active and passive
asses abduction- active and passive
assess internal and external rotation active and passive
asses internal and external rotation with 90 degrees of hip extension in prone position

Question 6

what are the special tests

Answer 6

thomas’ test
measure limb length (ASIS to medial malleolus)
trendelenburg sign

Question 7

what is thomas’ test

Answer 7

fixed flexion deformity

Question 8

what is apparent limb length

Answer 8

from umbilicus to medial malleolus

Question 9

what tests should be offered for completeness

Answer 9

contralateral hip 
ipsilateral knee 
lumbar spine 
patient's gait 
neuro exam of lower limb

Question 10

what is trendelenburg sign

Answer 10

ask patient to stand on the leg that you are examining and look for tilting pelvis