Hip Flashcards
Central compartment
Labrum
Ligamentum teres
Articular surfaces
Peripheral compartment
Femoral neck
Synovial lining
Lateral compartment
Gluteus medius Gluteus minimums piriformis IT band Trochanteric bursae
Anterior compartment
Iliopsoas insertion
Iliopsoas bursae
Log roll
Roll the pt’s leg into internal and external rotation
(+) test: pain
Indicates: central or peripheral compartment pathology
C-sign
Central compartment
Pt points to source of pain with two fingers or cups just above the trochanter with the thumb and index finger
Indicates: labral pathology
Labral loading
Central compartment
Flex the pt’s knee and hip to 90 degrees-load into the femur towards the Innominate
(+) test: pain
Indicates: labral or cartilaginous pathology
Labral distraction
Central compartment
Distract pt’s femur away from Innominate
(+) test: improvement of pain
Indicates: labral or cartilaginous pathology
Scour test
Flex and externally rotate pt’s hip
Load into socket and articulate through annular ROM
(+) test: pain
Indicates: labral pathology or articular cartilage pathology
Apprehension test (FABER) (1 of 3)
Central compartment
Pt’s hip is flexed, abducted, and externally rotated
Physician induces further ER by applying a posterior force at knee
(+) test: anterior subluxation of hip or apprehension pain
Indicates: labral pathology
Rectus femoris test
Peripheral compartment
Pt supine
One hip is flexed up to the chest, the other leg is bent over the edge of the table
(+) test: knee flexion less than 90 degrees
Indicates: rectus femoris contraction
Jump sign
Pt seated; pressure is applied to greater trochanter
(+) test: pt withdraws or jumps with pressure
Indicates: trochanteric bursitis
Straight leg raise test
Pt supine; passively flex pt’s ipsilateral hip with knee extended
(+) test: pain over lateral leg, especially at > 15 degrees
Indicates: IT band contracture
Positive signs usually occur between 30-60 degrees if cause is lumbosacral radiculopathy and/or sciatic neuropathy
Positive sign at >70 degrees is more likely mechanical low back pain due to muscle strain or joint disease
Piriformis test
Pt supine with hip and knee flexed, one ankle crossed over contralateral knee
Physician puts hand under knee and pt pushes down against resistance
(+) test: pain over posterior aspect of greater trochanter
Indicates: piriformis spasm or pathology
Patrick’s FABER (2 of 3)
Pt’s hip is flexed, abducted, and ER Physician braces contralateral ASIS and puts hand underneath knee Pt pushes down against resistance (+) test: pain or weakness Indicates: gluteus medius pathology
