Hip Exam

Question 1

Diagnostic Clues in Hip Pain:
Dull, deep, aching

Answer 1

Arthritis
Paget Disease

Question 2

Diagnostic Clues in Hip Pain:
Sharp, intense, sudden, associated w/ weightbearing

Answer 2

Fracture

Question 3

Diagnostic Clues in Hip Pain:
Tingling that Radiates

Answer 3

Radiculopathy
spinal stenosis
meralgia paresthetica

Question 4

Diagnostic Clues in Hip Pain:
Increased pain while sitting with the affected leg crossed

Answer 4

Trochanteric Bursitis

Question 5

Diagnostic Clues in Hip Pain:
Pain at sitting, legs not crossed

Answer 5

Ischiogluteal bursitis

Question 6

Diagnostic Clues in Hip Pain:
Pain after standing, walking

Answer 6

Hip Arthrosis

Question 7

Diagnostic Clues in Hip Pain:
Pain on attempted Weightbearing

Answer 7

Occult fracture
Severe Arthrosis

Question 8

Diagnostic Clues in Hip Pain:
Unremitting, long duration

Answer 8

Paget Disease
Metastatic Carcinoma
Severe Arthrosis

Question 9

Appendicitis Red Flag

Answer 9

McBurney’s Point = 1/3 distance between ASIS & Navel

Question 10

Yellow Flags: Depression has stronger association with hip pain than obesity

Question 11

Visual Analog Scale

Answer 11

Hip Arthroscopy

Question 12

WOMAC

Answer 12

OA
-Pain, function & joint stiffness
-higher score = greater disability

Question 13

HOOS

Answer 13

Hip OA
-100 = no symptoms
-0 = extreme symptoms

Question 14

Harris Hip Functional Scale

Answer 14

Rates hips before & after surgery
-excellent reliability

Question 15

LEFS

Answer 15

General LE function
-primarily knee & hip arthroplasties
-80 points = very high function, 0 points = very low function

Question 16

iHot

Answer 16

younger/middle aged athletes with hip pain

Question 17

Red Flag Screen: Legg-Calve Perthes

Question 18

Red Flag Screen: Slipped Capital Femoral Epiphysis

Question 18

Red Flag Screen: Pelvic & Femoral Neck Stress fractures

Answer 18

Patellar-Pubic Percussion Test
Fulcrum Test for Stress Fractures

Question 19

Screening for Intra-articular hip pathology

Answer 19

FADIR
IROP
FABER

*can also be special tests

Question 19

Knee Screen to clear knee before proceeding with Hip Exam

Answer 19

AROM with OP

Question 20

Hip AROM Normals

Answer 20

Flexion = 110-120
Ext = 10-15
ABD = 30-35
ADD = 30
Lateral Rotation (ER) = 40-60
Medial Rotation (IR) = 30-40

Question 21

Hamstring Flexibility Test: 90/90

Answer 21

Positive if Knee lacks 10 deg or more of knee extenstion

Question 22

Kendall Test

Answer 22

Assesses Rectus Femoris tightness b/c crosses hip & knee

(+) = extension of knee on the side being tested when opposite is flexed

Question 23

Thomas Test (leg supported)

Answer 23

assesses Iliopsoas tightness (+) = straight leg raises off the table and stretch is felt in anterior hip

Question 24

Modified Thomas (leg unsupported)

Answer 24

assesses iliopsoas, rectus femoris, & TFL/ITB extended knee = tight quads/rectus femoris flexed hip = psoas muscles abducted hip = TFL/ITB

Question 25

Ober Test

Answer 25

assesses the TFL and ITB (+) = leg fails to lower, thigh remains parallel to table

Question 26

Modified Ober

Answer 26

same but with knee extended (+) = leg remains abducted while patients muscles are relaxed

Question 27

Ely's

Answer 27

assesses rectus femoris tightness in prone

Question 28

Deep Squat Test

Answer 28

Patients with FAI demonstrated less squat depth

Question 29

Single Leg Stance

Answer 29

Gluteal Tendinopathy Greater Trochanteric Pain Syndrome

Question 30

Hip Adductor Squeeze Strength Test

Answer 30

for Athletic groin pain Pain Rating after 5 Second Squeeze 0-2 = full participation 3-5 = limit participation 6-10 = stop participation

Question 31

Patellar Pubic Percussion Test

Answer 31

affected side has a duller sound Identifies: periacetabular, iliopubic, ischiopubic ramus fractures and femoral

Question 32

Fulcrum Test

Answer 32

for Femoral Stress Fx (+) pain and/or apprehension

Question 33

FADIR

Answer 33

provoke intra-articular hip pathology most common for FAI or anterior Labral

Question 34

IROP

Answer 34

abnormal end feel = + for hip pathology

Question 35

FABER

Answer 35

Anterior Groin Pain indicates: iliopsoas pathology, psoas impingement/anterior capsule, or intra-articular pathology Posterolateral Pain indicates: ischiotrochanteric impingement Posterior Pain indicates: sacroiliac involvement