Hip Flashcards
Log roll
Pos. = pain
Roll the patients straight leg into internal and external rotation
Central or peripheral compartment of hip
C sign
Patient characteristically points to the source of pain with two fingers just above greater trochanter
Central compartment of hip
Labral pathology
Labral loading
Pos = pain
Patient lies prone, flex knee and hip to 90 and then push foot towards table
Central compartment of hip
Labral or cartilaginous pathology
Labral distraction
Pos = improvement of pain
Patient prone and knee and hip flexed to 90, pull foot away from table
Central compartment of hip
Labral or cartilaginous pathology
Scour
Pos = pain
Like labral loading except that you move the patients leg through the horseshoe motion
Central compartment of hip
Labral or cartilaginous patology
Faber 1
Pos = pain
Patient supine; hip Flexed, ABducted, Externally Rotated applied posterior force
Central compartment of hip
Labral pathology
Ely’s test
Pos = ipsilateral hip raises off table
Patient prone and passively flex patient’s knees
Peripheral compartment of hip
Indicates rectus remoris contracture
Rectus femoris test
Pos = Knee flexion <90
Patient supine on hip flexed and other leg over table. Drop flexed leg and see if the knee angle is less than 90
Peripheral compartment of hip
Rectus femoris contraction ipsilaterally
Jump sign
Pos = patient jumps or withdraws with pressure
Patient is seated and you apply pressure to greater trochanter
Lateral compartment of hip
Trochanteric bursitis
Straight leg raise
Pos = pain
Raise leg with knee extended
Lateral compartment of hip
Pain from 15-30 = lumbar disk
Pain laterally >15 = lateral compartment pathology
Pirformis test
Pos = pain
Patient supine with hip and knee flexed, one ankle crossed over contralateral knee. Patient aBducts against resistance
Lateral compartment of hip
Pirformis spasm or pathology
Ober’s test
Pos = inability to adduct
Patient lateral recumbent with doctor standing behind the patient. Doctor abducts the top leg and then lowers leg while stabilizing the hip
Lateral compartment of hip
IT band contracture
Tredelenburg
Pos = can’t hold hips level
Patient standing with doctor behind, ask them to lift one foot off the ground
Lateral compartment of hip
Contralateral gluteus medius weakness (super gluteal nerve)
Faber 2
Pos = pain
Patient supine their leg in figure 4. ask them to aBduct against pressure
Lateral compartment of hip
Gluteus medius pathology
Faber 3
pos = pain
Figure 4 pattern. Patient aDducts against resistance
Anterior compartment of hip
Iliopsoas pathology
