Hip Exam

Question 1

4 main symptoms of hip disease?

Answer 1

1. pain (localized to groin or medial thigh)
2. stiffness
3. deformity
4. limp

Question 2

What is the first motion to be lost with degenerative disease of hip?

Answer 2

EXTERNAL rotation of hip

Question 3

What are the most common conditions affecting the hip?

Answer 3

1. osteoarthritis
2. gluteus medius bursitis
3. trochanteric bursitis
4. fractures of femur

Question 4

lateral hip pain aggravated by DIRECT pressure is usually associated with?

Answer 4

Trochanteric Bursitis

Question 5

Progressive lateral hip pain with direct pressure or weight bearing is associated with?

Answer 5

intraarticular injury or femur fracture

Question 6

What is the cause of meralgia paresthetica?

Answer 6

entrapment of lateral femoral cutaneous nerve

sxs: numbness, sxs in anterolateral thigh

Question 7

What is radiculopathy?

Answer 7

problem with nerve and its function

Question 8

Pt presents with pain radiating down the leg and into the foot , involving the L4-L5. What is the dx?

Answer 8

Lumbar radiculopathy

Question 9

What are extra-articular causes of hip pain?

Answer 9

lower abdominal pathology
inguinal hernia
lumbar spinal nerve root pain

Question 10

What is the lease common pain pattern affecting the hip?

a. posterior hip pain
b. lower anterior hip thigh pain
c. anterior hip pain

Answer 10

a. Posterior hip (gluteus) pain

Question 11

Examination of hip should include (few things)?

Answer 11

1. gait issues
2. tolerance of squatting
3. general ability to move in the room
4. ROM
5. Palpation

Question 12

How to identify for referred pain to the hip via lumbar spinal nerves?

Answer 12

straight leg raise

Question 13

How to identify for referred pain to the hip via sacroiliac joint?

Answer 13

palpation of joint

Question 14

How to identify for referred pain to the hip via Lateral femoral cutaneous N?

Answer 14

sensation in upper outer thigh

Question 15

How to identify for referred pain to the hip via lower abdominal vascular structures?

Answer 15

lower extremity pulse

Question 16

A patient shifts the torso over the affected hip to reduce load on the hip and decrease pain…. What type of gait is this?

Answer 16

Trendelenburg gait (torso shift)

Question 17

Trendelenburg gait indicates?

Answer 17

hip joint disease OR weakness of gluteus medius muscle

Question 18

Pt spends shorter time weight bearing on the affected side do to pain. What type of gait is this?

Answer 18

Antalgic Gait

Question 19

Pt with significant difference in leg lengths and walk slightly unbalanced with arms out. What gait is this?

Answer 19

Short leg limp

Question 20

How to inspect for pelvic obliquity?

Answer 20

hands placed on iliac crest and estimate level of pelvis

Question 21

Pt presents with asymmetry of iliac crests. What are possible causes?

Answer 21

1. scoliosis
2. pelvic fracture
3. leg length discrepancy

Question 22

Fabere test allows us to differentiate between what two pathologies?

Answer 22

hip and sacroiliac joint pathologies

Question 23

What motions must the examiner perform on patient to assess the affected leg using Fabere Test?

Answer 23

1. Flex
2. ABduct
3. Externally Rotate
4. Extend

Question 24

What is negative test for Fabere test?

Answer 24

test leg falls atleast parallel to opposite leg

Question 25

What is postitive test for Fabere test?

Answer 25

affected leg remains above opposite leg

Question 26

Pain with maneuver in the abscence of pain with PASSIVE hip joint mover indicates….?

Answer 26

SACROILIAC joint pathology

Question 27

No pain at 90 degrees for straight leg raise indicates?

Answer 27

mechanical cause of back pain

Question 28

Pain in the back with 30-90 or 30-60 degrees is a positive straight leg raise which indicates?

Answer 28

consistent with lumbar disc isssue

Question 29

Straight leg raise is used to assess for?

Answer 29

impingement of a nerve root from a herniated disc