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PCMI > Hip exam > Flashcards

Hip exam Flashcards

1
Q

Name the flexors of the hip

A

Iliopsoas
sartorius
rectus femoris
tensor fascia lata/IT band

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2
Q

adductor of hip

A

adductor longus

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3
Q

abductor of hip

A

gluteus medius

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4
Q

extensor

A

Gluteus maximus

Hamstrings: -biceps femoris, semitendinosus, semimembranosus

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5
Q

ROM for flexion

A

90 with knee extended, 120-135 with knee flexed

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6
Q

ROM for extension

A

15-30

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7
Q

ROM abduction

A

45-50

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8
Q

adduction rom

A

20-30

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9
Q

Internal rotation

A

30-40

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10
Q

external rotation

A

40-60

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11
Q

What spinal nerves contribute to the femoral nerve?

A

L2-4

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12
Q

Spinal nerves for inferior gluteal nerve

A

L5. S1, S2

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13
Q

Spinal nerves for Superior gluteal nerve

A

L5 and S1

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14
Q

Spinal nerves for the obturator nerve

A

L2-4 same as femoral

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15
Q

What makes up the central compartment?

A

Labrum, Ligamentum teres, Articular surfaces

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16
Q

What makes up the peripheral compartment?

A

femoral neck, synovial lining

17
Q

what makes up the lateral compartment?

A

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

18
Q

What makes up the anterior compartment?

A

Iliposoas insertion, iliopsoas bursae

19
Q

What is the log roll?

A

roll patients leg into internal and external rotation

-if pain, indicates central or peripheral compartment pathology

20
Q

Labral loading

A
  • flex patient’s knee and hip to 90 degrees, load into the femur towards the innominate
  • if pain, labral or cartilaginous pathology
21
Q

Labral distraction

A

same as with loading, just pulling up

-labral or cartilaginous pathology

22
Q

Scour

A

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

-labral or cartilaginous pathology

23
Q

1st version of FABER test

A

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
24
Q

Ely’s test

A

patient prone, passively flex patient’s knees

    • if ipsilateral hip raises off table
  • indicates rectus femoris contracture
25
Q

Rectus femoris test

A

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

26
Q

Jump sign

A

push on the greater trochanter

-if it hurts, indicates trochanteric bursitis

27
Q

Straight leg raise test

A

raise the leg with knee extended.

    • if pain
  • indications: pain from 15-30 is lumbar disc, pain laterally >15 degrees is lateral compartment pathology
28
Q

Ober’s test

A

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
29
Q

Piriformis test

A

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
30
Q

Trendelenburg

A

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

31
Q

Version 2 of Faber

A

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
32
Q

Version 3 of faber

A

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
33
Q

Psoas test

A

flex hip to 30 degrees while patient further flexes against resistance

    • if pain or inability or snapping
  • Indicates psoas contracture or pathology
34
Q

Thomas test

A

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

PCMI (9 decks)

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