Hip exam

Question 1

Name the flexors of the hip

Answer 1

Iliopsoas
sartorius
rectus femoris
tensor fascia lata/IT band

Question 2

adductor of hip

Answer 2

adductor longus

Question 3

abductor of hip

Answer 3

gluteus medius

Question 4

extensor

Answer 4

Gluteus maximus

Hamstrings: -biceps femoris, semitendinosus, semimembranosus

Question 5

ROM for flexion

Answer 5

90 with knee extended, 120-135 with knee flexed

Question 6

ROM for extension

Answer 6

15-30

Question 7

ROM abduction

Answer 7

45-50

Question 8

adduction rom

Answer 8

20-30

Question 9

Internal rotation

Answer 9

30-40

Question 10

external rotation

Answer 10

40-60

Question 11

What spinal nerves contribute to the femoral nerve?

Answer 11

L2-4

Question 12

Spinal nerves for inferior gluteal nerve

Answer 12

L5. S1, S2

Question 13

Spinal nerves for Superior gluteal nerve

Answer 13

L5 and S1

Question 14

Spinal nerves for the obturator nerve

Answer 14

L2-4 same as femoral

Question 15

What makes up the central compartment?

Answer 15

Labrum, Ligamentum teres, Articular surfaces

Question 16

What makes up the peripheral compartment?

Answer 16

femoral neck, synovial lining

Question 17

what makes up the lateral compartment?

Answer 17

Glut medius, minimus, piriformis, IT band, trochanteric bursae

Question 18

What makes up the anterior compartment?

Answer 18

Iliposoas insertion, iliopsoas bursae

Question 19

What is the log roll?

Answer 19

roll patients leg into internal and external rotation

-if pain, indicates central or peripheral compartment pathology

Question 20

Labral loading

Answer 20

• flex patient’s knee and hip to 90 degrees, load into the femur towards the innominate
• if pain, labral or cartilaginous pathology

Question 21

Labral distraction

Answer 21

same as with loading, just pulling up

-labral or cartilaginous pathology

Question 22

Scour

Answer 22

same as labral loading, just move it around in a circle

-labral or cartilaginous pathology

Question 23

1st version of FABER test

Answer 23

Flexed, abducted, externally rotated

• doctor applies a posterior force on the knee to get further external rotation
• • if painor subluxation or apprehension
• means anterior labral pathology

Question 24

Ely’s test

Answer 24

patient prone, passively flex patient’s knees

• • if ipsilateral hip raises off table
• indicates rectus femoris contracture

Question 25

Rectus femoris test

Answer 25

Patient supine, one hip flexed up to the chest. the other leg bent over the edge of the table -+ if knee flexion is

Question 26

Jump sign

Answer 26

push on the greater trochanter | -if it hurts, indicates trochanteric bursitis

Question 27

Straight leg raise test

Answer 27

raise the leg with knee extended. - + if pain - indications: pain from 15-30 is lumbar disc, pain laterally >15 degrees is lateral compartment pathology

Question 28

Ober's test

Answer 28

Patient lateral recumbent with doc behind the patient. Doc abducts the top leg and then lowers leg to the table while stabilizing hip - + if inability to adduct - indicates IT band contracture

Question 29

Piriformis test

Answer 29

patient supine with hip and knee flexed, one ankle crossed over contralateral knee. Patient abducts against resistance - + if pain over posterior aspect of greater trochanter - indicates piriformis spasm or pathology

Question 30

Trendelenburg

Answer 30

Patient standing with doctor behind. Patient lifts one foot off ground -+ if weakness/inability to hold hips level -indicates contralateral gluteus medius weakness(Superior gluteal nerve) (So, if the RIGHT HIP drops that means they have LEFT GLUTEUS MEDIUS/SUPERIOR GLUTEAL NERVE pathology

Question 31

Version 2 of Faber

Answer 31

Patients hip is flexed, abducted, and externally rotated. Doc braces contralateral ASIS, patient externally rotates/abducts against resistance. - + if pain or weakness - indicates gluteus medius pathology

Question 32

Version 3 of faber

Answer 32

Patient's hip is flexed, abducted, and externally rotated. Doc braces contralateral ASIS. Patient INTERNALLY rotates/ADDUCTS against resistance - + if anterior or medial groin pain/ weakness - indicates iliopsoas insufficiency or pathology

Question 33

Psoas test

Answer 33

flex hip to 30 degrees while patient further flexes against resistance - + if pain or inability or snapping - Indicates psoas contracture or pathology

Question 34

Thomas test

Answer 34

Patient supine and pulls knees to chest. One leg is lowered to the table to test the flexibility of the hip flexors - + if inability to fully extend/ extended leg raises off table - indicates hip flexor contraction