Hip Exam

Question 1

Compartmental structures: Central

Answer 1

Labrum, Ligamentum Teres, Articular surfaces

Question 2

Compartmental structures: Peripheral

Answer 2

Femoral neck, synovial lining

Question 3

Compartmental structures: Lateral

Answer 3

Gluteus medius 
Gluteus minimus 
Iliotibial band 
Trochanteric bursae:
deep and superficial

Question 4

Compartmental structures: Psoas

Answer 4

Iliopsoas insertion

Iliopsoas bursae

Question 5

Central compartment “signs and symptoms”

name four

Answer 5

C-sign, Catching+Locking, Instability

Question 6

C sign

Answer 6

central compartment

Pathognomic of labral pathology

Question 7

catching and locking

Answer 7

central compartmnet

Question 8

Pain in the central compartment

Answer 8

lumbar/spine
groin/medial
pelvic rim: anterior to posterior L5-S1 radicular pattern in the morning or after a run

Question 9

Central compartment Pathology

Answer 9

labral tears 
ligamentum teres disruption 
osteochondral defects 
chomdroal defects 
chondromalacia/osteoarthritis 
loose bodies

Question 10

Leg Roll

Answer 10

nonspecific to central and peripheral compartments

roll patients leg into internal and external roation

if it’s painful it’s +

indicates central and peripheral compartment pathology

Question 11

Labral loading

Answer 11

central compartment

patient supine
patients knee is flexed at 90 deg.
load femur towards the hip bone

labral and cartilaginous pathology

Question 12

Labral distraction

Answer 12

distract patient’s femur away from the hip
positive test = pain
labral or cartilaginous pathology

Question 13

Scour

Answer 13

flex and externally rotate patients hip
labral or articular cartilage pathology

central compartment

Question 14

Faber

Answer 14

1/3 versions

patient’s hip is flexed, ABducted and externally rotated

indicates: anterior labral pathology

a positive test indicates anterior subluxation of hip or apprehension/pain

doctor induces further external rotation by applying a posterior force at the knee

Question 15

Ely’s test

Answer 15

peripheral compartment

patient is prone, passively flexes patient’s knee

+ test = ipsilateral hip raises off table

indicates rectus femori contracture

Question 16

Rectus femoris test

Answer 16

peripheral compartment
patient is supine

one hip flexed up to the chest, the other lef bent over the edge of the table

the other leg bent over the table

Question 17

Jump sign

Answer 17

lateral compartment

patient is seated, pressure is applied to greater trochanter

+ test = trochanteric bursitis

Question 18

Straight leg raise

Answer 18

patient supine
lateral compartment

Raise the leg with knee extended
nonspecific test

pain from 15- 30 degree indicates a lumbar disc etiology
pain at less than 15 degrees indicates a lateral compartment pathology

IT band passes over the

Question 19

Ober’s test

Answer 19

lateral compartment

patient is lateral recumbent with doctors standing behind the patient

doctor abducts the top leg and then lowers lef to the table while stabilizing hip

pain indicates inability to adduct

indicates IT band contracture

Question 20

Piriformis test

Answer 20

lateral compartment

patient is supine with hip and knee flexed
one ankle crossed over contralateral knee

patient abducts against resistance

+ = pain over posterior aspect of greater trochanter indicates piriformis spasm or pathology

Question 21

Trendelenburg

Answer 21

lateral compartment test

patient standing with doctor behind
patient lifts one foot off ground

+ test = weakness/inability to hold hips level
indicates contralateral gluteus medius weakness

Question 22

Patricks

Answer 22

Patient’s hip if flexed, ABducted, and externally rotated