Hip exam Flashcards
Extension
15-30
Gluteus Maximus m.
Inferior gluteal n. L5, S1, S2
Abduction
45-50
Gluteus medius and minimus m.
Superior Gluteal N. L5, S1
Adduction
20-30
Adductor longus m.
Obturator n. L2-4
Internal Rotation
30-40
External Rotation
40-60
Central Compartment
Labrum, Ligamentum teres, articular surfaces
Peripheral compartment
Femoral neck, synovial lining
Lateral compartment
Gluteus medius, gluteus minimus, piriformis, IT band, trochanteric bursae
Anterior compartment
Illiopsoas insertion
Illiopsoas bursae
Log roll
Nonspecific to central and peripheral compartments
Roll the patient’s leg into internal and external rotation
(+) test= pain
Pathology in central or peripheral compartment
C-sign
Central compartment
Patient points to the source of the pain by cupping just above the trochanter with their hand in the shape of a C
Indicates labral pathology
Labral Loading
Central compartment Flex patients knee and hip to 90 Load into the femur towards the os coxae (+) test= pain Labral or cartilaginous pathology
Labral distraction
Central compartment
distract patients femur away from os coxae with knee and hip flexed at 90. Patient prone
(+) test= improvement of pain
Labral or cartilage pathology
Scour
Central compartment Flex and externally rotate patient's hip. Load into socket and articulate through ROM Supine (+) test= pain Labral or cartilaginous pathology
Apprehension FABER 1/3
Central compartment
1. Patient in figure 4. Doc induces further external rotation by applying posterior force at the knee
(+) test= anterior subluxation of hip or apprehension/pain
Anterior labral pathology or impingement
Ely’s Test
Peripheral Compartment
Patient prone. Passively flex patient’s knees
(+) test= ipsilateral hip raises off the table
Rectus Femoris contracture
Rectus Femoris Test
Peripheral Compartment
Patient supine. One hip flexed to chest. Other leg bent over the edge of the table
(+) test= knee flexion less than 90
INdicates rectus femoris contraction ipsilaterally
Jump sign
Lateral Compartment
Patient is seated. Poke the greater trochanter
(+) test= patient withdraws or jumps with pressure
Trochanteric bursitis
Straight leg raise test
Lateral Compartment
Raise the leg with knee extended, nonspecific test
(+) test= pain
Pain from 15-30 lumbar disc etiology
Pain laterally greater than 15 is lateral compartment pathology
Ober’s test
Lateral compartment
Patient lateral recumbent with doctor standing behind the patient. Doctor abducts the top leg and then lowers leg to the table with stabilizing hip
(+) test= inability to adduct
IT band contracture
Piriformis Test
Lateral Compartment
Patient supine with hip and knee flexed, one ankle crossed over contralateral knee. Patient abudcts against resistance
(+) test= pain over posterior part of greater trochanter
Piriformis spasm or pathology
Trendelenberg
Lateral compartment
Patient standing with doctor behind. Patient lifts one foot off ground
(+) test= weakness/ inability to hold hips level
Contralateral gluteus medius weakness or superior gluteal nerve
Patrick’s: FABER 2/3
Lateral Compartment
Patient in figure 4. Doctor braces contralateral ASIS, patient externally rotates/ abducts against resistance
(+) test= pain or weakness
Gluteus medius pathology
Patrick’s FABER 3/3
Anterior compartment
Figure 4. Doc braces contralateral ASIS. Patient internally rotates and Adducts against resistance
(+) test= anterior or medial groin pain/ weakness
Iliopsoas insufficiency or pathology
