Hip and Thigh Assessment

Question 1

Femoroacetabular Impingement - Special Tests (5)

Answer 1

Hip ROM (pain and decreased hip flexion and IR).
FADDIR
FABER
Scour
Thomas

Question 2

Hip Labral Tear - Special Tests (6)

Answer 2

Painful clicking
FADDIR
FABER
Hip dial test
Scour
Thomas

Question 3

Hip OA - Special Tests/Assessment (6)

Answer 3

Painful stairs, walking, squatting.
Painful and/or decreased passive hip ROM (mainly IR)
Painful active hip extension
Painful active hip flexion
Scour
FABER + FADDIR

Question 4

Hamstring Tear - Special Tests/Assessment (6)

Answer 4

Pain over muscle belly.
Straight leg raise (no neurological signs, pain on posterior thigh)
Resisted isometric knee flexion (pain and reduced strength)
Single leg bridge
Slump test
90/90 test

Question 5

Proximal Hamstring Tendinopathy - Special Tests/Assessment (4)

Answer 5

Painful palpation of ischial tuberosity.
Heavy isometric knee flexion (pain and reduced strength).
90/90 test
Modified single leg bridge

Question 6

Greater Trochanteric Pain Syndrome (Gluteal Tendinopathy) - Special Tests/Assessment (6)

Answer 6

Painful lateral hip when stair climbing, crossing legs.
FABER
Trendelenburg
Derotation test
Ober’s test
Painful hip facing upwards in side lying.

Question 7

FABER Test - Movements, Structure/Pathologies (4), Positive Signs.

Answer 7

Hip intra-articular pathology.
Flexion, abduction, external rotation test.
FAI, hip labral tear, hip OA, greater trochanteric pain syndrome.
Reproduction of pain.

Question 8

FADDIR - Movements, Structures/Pathologies (3), Positive signs, Sensitivity/Specificity.

Answer 8

Hip intra-articular pathology.
Flexion, adduction, internal rotation.
FAI, Hip labral tear, hip OA.
Reproduction of pain.
Sensitive, not specific.

Question 9

Hip Scour Test - Structures/Pathologies (3), Positive Signs.

Answer 9

Hip intra-articular pathology.
FAI, hip labral tear, hip OA.
Reproduction of pain.

Question 10

Hip Dial Test - Pathology and Positive Signs.

Answer 10

Hip labral tear.
Increased ER on affected side, loss of elasticity in the hip.

Question 11

Thomas Test - Structures (3)/Pathologies (2), Positive Signs.

Answer 11

Hip intra-articular pathology and muscle length.
TFL, Rectus femoris, iliopsoas.
FAI: pain in flexed hip and decreased ROM in extended hip.
Hip labral tear: pain in flexed hip.

Question 12

Bridge, Single Leg Bridge, Modified Single Leg Bridge - Structures/Pathologies (2), Positive Signs

Answer 12

Hamstring tear: test level depending on grade of tear, grade 3 -> bridge painful. proximal hamstring tendinopathy: modified single leg bridge -> painful over ischial tuberosity.
Pain or not able to complete.
3 repetitions of all 3 movements.

Question 13

90/90 Test - Structures/Pathologies (2) and Positive Signs.

Answer 13

Hamstring tear and proximal hamstring tendinopathy.
Pain and/or decreased ROM.

Question 14

Straight Leg Raise - Structures/Pathology and Positive Signs.

Answer 14

Hamstring tear.
Pain through posterior thigh with no reproduction of neural symptoms.
To differentiate nerve or muscle.

Question 15

Slump Test - Structure/Pathology and Positive Signs

Answer 15

Hamstring tear.
To differentiate nerve or muscle involvement.
Negative for neural symptoms.

Question 16

De-Rotation Test - Structures (2)/Pathology and Positive Signs.

Answer 16

Greater Trochanteric Pain Syndrome (gluteal tendinopathy). Gluteus medius and minimus.
Pain on lateral hip (greater trochanter) when contracting.

Question 17

Trendelenburg Sign - Structures/Pathology and Positive Signs,.

Answer 17

Greater trochanteric pain syndrome (gluteal tendinopathy) Gluteus medius, minimus.
Contralateral pelvic drop.

Question 18

Ober’s Test - Structures/Pathology and Positive Signs.

Answer 18

Greater trochanteric pain syndrome (gluteal tendinopathy) and ITB syndrome.
Pain on lateral hip and ROM deficit.

Question 19

Squeeze Test - Structures/Pathology and Positive Signs.

Answer 19

Adductor pathology, tear or tendinopathy.
Reproduction of pain in groin/adductor region.
Tear: pain right away.
Tendinopathy: pain later in contraction.