Hip Exam

Question 1

indentification

Answer 1

• if they are in a gown, ask them to expose one hip at a time
• asis
• psis
• iliac crest
• SI joint
• trocanter
• greater trochanter
• inguinal ligament

Question 2

inspection

Answer 2

• difference between the joint symmetru
• normal alignment
• misalignment and deformities
• redness
• swelling
• scars
• muscle wasting
• muscle hypertrophy
• bruising/discoloration
• levelness of the iliac crest

Question 3

after standing inspection, what else should you do?

Answer 3

gait: characterize the hand movement, the stride, any limping, ataxia, anthralgic gates, trendelenberg.
- trendelenberg sign. - levelnesss of the iliac crest

Question 4

types of inspection lying down

Answer 4

leg lengths– true and apparent.

quad circumference

Question 5

after all the inspection, what do you palpate?

Answer 5

ASIS, iliac crest, PSIS, SI joint, inguinal ligament, iliopsoas bursa, trochanteric bursa.

Question 6

after palpation, what is next?

Answer 6

ROM:
active:
- flexion
- extension
- abduction
- aduction

passive:

• flexion
• extension
• abduction
• adduction
• internal rotation
• external rotation

strength same as active

Question 7

after ROM test, what is next?

Answer 7

special test: Thomas test for flexor contractor– stiffness in the rectus femorus or the iliopsoas.