Hip Flashcards
How do you start the examination?
Wash hands Introduction Identification Consent Exposure
What exposure is required?
Down to pants
What should you look for with the patient standing?
Pelvic tilt Joint deformities Quadricep and gluteal muscle wastage Exaggerated lumbar lordosis Scoliosis Gait
How should you position the patient?
Supine
What should you assess when lying down?
Symmetry
How do you measure apparent leg length?
From xiphisternum to medial malleoulus
How do you measure true leg length?
From anterior superior iliac spine to medial malleolus
How do you assess where true leg length discrepency originates from?
Position patient with knees bent to 90
Place hand on each angle of leg, hand will dip down on the area it is shorter (tibia or femur)
What do you assess for “feel”
Do they have any pain or tenderness
Temperature of upper thigh and greater trochanter
Palpate greater trochanter for bursitis
What do you assess for active ROM (and what’s normal) ?
Flexion (115-125)
Abduction (40-50)
Adduction (15-25)
Extension (young people) (10-30)
What do you assess for passive ROM?
Flexion
Abduction
Adduction
Rotation
How do you assess passive rotational ROM? (and whats normal)
Check in extension (internal 30-40, external 40-50)
Check with knee flexed 90 (internal 25-40, external 25-50)
What are the special tests for a hip examination?
Thomas’ Test
Trendelenburg’s test
How do you perform Thomas’ test?
Place your hand between lumbar spine and the bed
Fully flex contralateral hip
Feel spine push into your hand
fixed flexion with raise other leg from bed
How do you perform Trendelenburg’s test?
Ask patient to stand on one leg
Normal will be level or raised contralateral pelvis
Abnormal pelvis dips on contralateral test
