Hip And Pelvis

Question 1

ASIS compression test

Answer 1

. Pos. Test means dysfunction in lumbosacropelvic region
. Contact patient’s R and L ASIS w/ palms
. Apply alternating pressure to ilia at 30-40 degree angle directed toward SI joint
. Restricted side is positive side

Question 2

Torso Torque Test

Answer 2

. Screen to assess trunk and pelvis rotation
. Place hands over ASISs
. Apply post. Directred force w/ one hand while applying lifting force on other side
. Resistance means dysfunction

Question 3

Iliac inflare vs iliac outflare

Answer 3

Inflare the ASIS is more med. than the other in midsagittal plane, sacral sulcus wider, leg looks internally rotated
. Outflare it is more lat., sacral sulcus narrow, legs look externally rotated

Question 4

How to find pubic tubercle

Answer 4

. Palpate abdomen w/ heel of hand just below umbilicus
. Move distally palpating soft tissue until you reach sup. Border of pubic symphysis
Use thumbs to palpate R/L pubic tubercles
. Can have sup/inf position or ant./post/ position

Question 5

Muscles that insert on pubic tubercle

Answer 5

. Rectus abdominis
. Hip adductor
. Imbalances cause dysfunction on pubic bone

Question 6

T/F leg length at medial malleoli can accurately diagnose leg length inequality

Answer 6

F, it is a sign of IS dysfunction

Question 7

Iliolumbar ligament location

Answer 7

. Btw L4-5 transverse processes and upper med. border of ilia

Question 8

Anterior innominate dysfunction

Answer 8

. Unilateral + standing flexion 
. ASIS positionally inf. 
. PSIS positionally sup. 
. Supine leg length longer 
. Sacral sulcus shallow 
. Leg internally rotated

Question 9

Posterior innominate

Answer 9

. Unilateral + standing flexion 
. ASIS positionally sup. 
PSIS positionally inf. 
. Supine leg length shorter 
. Sacral sulcus deeper
. Leg looks externally rotated

Question 10

Innominate upslip (superior shear)

Answer 10

. Traumatic etiology 
. Unilateral positive standing flexion test
. sup. ASIS
. Sup. PSIS
. Sup. Ischial tuberostiy 
. Lax sacrotuberous ligament
. Supine leg length is shorter

Question 11

Innominate downslip

Answer 11

. Inf. Shear
. Traumatic etiology
. Unilateral post. Standing flexion test
. Inf. ASIS and PSIS and ischial tuberosity
. Tight and tender sacrotuberous ligament
. Supine leg length longer

Question 12

T/F don’t let hips come up off table while motion testing

Answer 12

T

Question 13

How to test external rotation of femur w/ knee extended

Answer 13

. Grasp ankle ad slowly rotate leg laterally

. Compare both hips

Question 14

Internal rotation w/ knee extended test

Answer 14

. Grasp ankle and slowly rotate leg medially

. Compare hips

Question 15

External rotation of femur w/ hip and knee flexed to 90 degrees test

Answer 15

. Stabilize knee w/ one hand and grasp ankle w/ other
. Slowly move ankle medially
. Make sure knee doesn’t move as you move ankles
. Compare hips

Question 16

Internal rotation of femur w/ hip and knew flexed to 90 degrees test

Answer 16

. Stabilize knee w/ 1 hand and grasp ankle w/ other
. Move ankle laterally
. Make sure knee doesn’t move
. Compare hips

Question 17

Abduction of femur test

Answer 17

. Hold ankle w/ leg extended and knee locked
. Move entire leg lat.
. Compare hips

Question 18

Adductionof femur test

Answer 18

. Hold ankle w/ leg extended and knee locked
. Move leg medially past midline w/o letting pelvis come off table
. Compare hips

Question 19

Flexion of femur w/ both knees and hips to 90 degrees test

Answer 19

. Passively flex both hips to chest
. Observe hips for symmetry (normally flex to 120 degrees)
. Apply slight overpressure to knees to create more hip flexion
. Compare hips

Question 20

Prone assessments of hip motion

Answer 20

. Only can test extension of femur 
. Grasp femur just prox. To knee 
. Keep leg extended and knee locked
. Life leg from table while stabilizing pelvis 
. Make sure lumbar spine doesn’t extend 
. Compare hips