Hip And Pelvis Flashcards
Allis Sign (Galeazzi Sign)
Positive: Difference in height and anteriority of the knees
Indicates: 1) If one knee is lower: ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
2) If one knee is anterior: ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)
Leg Length Discrepancy
Positive: Different measurements
Indicate: 1) True leg length discrepancy: Bony abnormality above or below the level of trochanter difference (anatomical short leg)
2) Apparent leg length discrepancy: Pelvic obliquity (Tilted pelvis)
Thomas Test
Positive: Lumbar spine maintains lordosis (should flatten) and opposite hip does not straighten
Indicates: contracture of the hip flexors (iliopsoas)
Anvil Test
Positive: Localized pain in the long bone or hip joint
Indicates: Possible fracture of long bones, or hip joint pathology
Patrick Test aka FABERE sign
Positive: Pain in the hip region
Indicates: Hip joint pathology
Laguerre Test
Positive: 1) Pain in the hip joint
2) Pain in the sacroiliac joint
Indicates: 1) Hip joint pathology
2) Mechanical problem of the sacroiliac joint
Gaenslen Test
Positive: Pain on the affected SI joint stressed into extension
Indicates: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint
Lewin-Gaenslen Test
Positive: Pain on the affected SI joint stressed into extension
Indicates: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint.
Hibb Test
Positive: 1) Pain in the hip regions
2) pain in the buttock/pelvic region
Indicates: 1) Hip Joint Pathology
2) Sacroiliac Joint Lesion
Ober Test
Positive: Affected thigh remains in abduction (Normal biomechanics, the thigh/hip will adduct)
Indicates: Contraction of the iliotibial band or tensor fascia lata (usually secondary to synovitis of the hip, secondary to trauma of the gluteus medius and maximus)
Pelvic Rock Test aka Iliac Compression Test
Positive: Pain in either sacroiliac joint
Indicates: Sacroiliac joint lesion
Nachlas test
Positive: Pain in the buttock and/or pain in the lumbar regions
Indicates: Sacroiliac joint lesion, or lumbar pathology
Yeoman Test
Positive: Pain deep in the SI joint
Indicates: Sprain of the anterior sacroiliac ligaments
Ely Sign (Ely Test)
Positive: Hip on the side being tested will flex causing the buttock to raise off the table
Indicates: Rectus femoris or hip flexor contracture
Ely heel to buttock test
Positive: 1) Inability to raise the thigh
2) Pain in the anterior thigh
3) Pain in the lumbar region
Indicates: 1) Iliopsoas spasm
2) Inflammation of the lumbar nerve roots
3) Lumbar nerve root adhesions
