Hip and Pelvis Tests

Question 1

Leg Length Discrepancy

Answer 1

P: Different mesaurements
I: True = bony abnormality above or below level of trochanter different (anatomical short leg)
Apparent = pelvic obliquity (tilted pelvis)

Question 2

Allis Sign

Answer 2

P: Difference in height and anteriority of the knees
I: 1. if one knee is lower = ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
2. if one knee is anterior - ipsilateral congential hip dislocation or femoral discrepancy (contralateral anatomical short leg)

Question 3

Thomas Test

Answer 3

P: Lumbar spine maintains lordosis (should flatten) and hip or leg flexes
I: Contracture of the hip flexors (iliopsoas)

Question 4

Anvil Test

Answer 4

P: Localized pain in long bone or in hip joint
I: Possible fracture of long bones, or hip joint pathology

Question 5

Patrick Test

AKA. Fabere sign

Answer 5

P: Pain in the hip region
I: Hip joint pathology

Question 6

Laguerre test

Answer 6

1. Pain in the hip joint
   I: Hip joint pathology
2. Pain in the sacroiliac joint
   I: mechanical problem of the sacroiliac joint

Question 7

Gaenslen Test

Answer 7

P: Pain on the affected SI joint stressed into extension
I: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint

Question 8

Lewin-Gaenslen Test

Answer 8

P: Pain on the affected SI joint stressed into extension
I: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint

Question 9

Hibb Test

Answer 9

1. Pain in the hip region
   I: Hip joint pathology
2. Pain in the buttock/pelvic region
   I: Sacroiliac joint lesion

Question 10

Ober Test

Answer 10

P: Affected thigh remains in abduction (normal biomechanics, the tight/hip will adduct)
I: Contraction of the iliotibial band or tensor fascia late, (usually secondary to synovitis of the hip, secondary to trauma of the gluteus medius and maximus)

Question 11

Pelvic Rock Test

AKA. Iliac Compression Test

Answer 11

P: Pain in either sacroiliac joint
I: Sacroiliac joint lesion

Question 12

Nachlas Test

Answer 12

P: Pain in the buttock and/or pain in the lumbar region
I: Sacroiliac joint lesion or lumbar pathology

Question 13

Yeoman Test

Answer 13

P: Pain deep in SI joint
I: Sprain of the anterior sacroiliac ligaments

Question 14

Ely Sign (Ely Test)

Answer 14

P: Hip on side being tested will flex causing the buttock to raise off the table
I: Rectus femoris or hip flexor contracture

Question 15

Trendelenburg Test

Answer 15

P: High iliac crest on supported side and low crest on side of elevated leg
I: Weak gluteus medius muscle on the supported side