Hip and Pelvis Flashcards
Hip and Pelvis
Bony Palpation
Anterior Palpation 1) ASIS 2) Iliac Crest 3) Iliac Tubercle 4) Greater Trochanter Posterior Palpation 1) PSIS 2) Ischial Tubercle 3) Coccyx
Hip and Pelvis
Soft Palpation
1) Femoral triangle borders
• Sartorius
• Adductor Longus
• Inguinal Ligament
2) Quadriceps Muscles (palpate as a unit and individually)
• Vastus Lateralis
• Vastus Medialis
• Vastus Intermedius
• Rectus Fermoris
3) Greater trochanteric bursa 8) Hamstrings
4) Gluteus medius • Biceps femoris
5) Gluteus maximus • Semitendinosus
6) Sciatic nerve • Semimembranosus
7) Cluneal Nerve
Hip and Pelvis
Ranges of Motion
Active and Passive
1) Flexion 120°
2) Extension 30°
3) Ab-duction 45°
4) Ad-duction 45°
5) Internal rotation 45°
6) External rotation 45°
7) Flexion and adduction “Girl Sit”
8) Flexion, Abduction and External Rotation “Boy Sit”
Leg Length Discrepancy
Positive:
Different measurments
Indicates:
True = bony abnormality above below level of trochanter difference (anatomical short leg)
Apparent = pelvic obliquity (Tilted pelvis)
Allis Sign (Galeazzi Sign) Pediatric Test for 1 month to 2 years old, can be used in adults
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)
Thomas Test
Positive:
Lumbar spine maitains lordosis (should flatten) and hip or leg flexes.
Indicates:
Contracture of the hip flexors (Iliopsoas)
Anvil Test
Positive:
Localized pain in long bone or in hip joint
Indicates:
Possible fracture of long bones, or hip joint pathology
Patrick Test a.k.a FABERE Sign
Positive:
Pain in the hip joint
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 “One Man Sleeping”
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
“Two men spooning”
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 region
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
a.k.a
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 region
Indicates:
Sacroiliac joint lesion, or lumbar pathology
