Hip Exam and Eval Lab

Question 1

Observation/Posture - Anterior View

Answer 1

Pelvic heights
GT heights
Femoral torsion (ante)
Leg rotation (knee caps)
Genur varum/valgus
Tibial torsion
Subtalar supinat/pron
Toeing in or out

Question 2

Observation/Posture - Lateral View

Answer 2

Degree of pelvic tilt
Lumbar lordosis
Position of femur as related to pelvis
Knee recurvatum 
Dorsi/plantar of ankle

Question 3

Observation/Posture - Posterior view

Answer 3

Rotation of hip, popliteal fossa, calcaneal eversion/inversion

Question 4

Lumbar Scan

Answer 4

Observation, AROM and overpressure, Gait, neuro and others if needed

Question 5

Hip Flexion end feel

Answer 5

springy/elastic

Question 6

Hip IR and ER end feel

Answer 6

can be more capsular than springy

Question 7

Hip abduction end feel

Answer 7

Elastic of adductors

Question 8

Hip adduction end feel

Answer 8

Elastic with lateral muscles of hip

Question 9

Hip Extension test done in sidelying, knee is

End feel

Answer 9

extended

End feel depends but will likely be springy

Question 10

Palpating Iliac Crests

Answer 10

Palpate heights

Also along outer rim secondary to insertion of flut max and med

Question 11

Palpate ASIS

Answer 11

Attachment of TFL and Sartorius

Common for avulsions

Question 12

Palpate AIIS

Answer 12

located in space formed by Sart and TFL, lateral femoral cutaneous nerve passes through triangle
Origin of rectus

Question 13

Palpate Greater Troch

Answer 13

Multiple muscles attaching - glut med, piriformis, super and inf gemelli, obt internus and ext, subtrochanteric bursa

Question 14

Palapte pubic symphysis

Answer 14

through gown

Question 15

Palpate pubic tuberosity

Answer 15

lateral to symphysis

Question 16

Palpate inguinal ligament

Answer 16

From ASIS to pubic tubercle
Palpation from medial to lateral
Femoral artery and nerve

Question 17

Palpate Sartorius/TFL/RF

Answer 17

position leg in slight flex and ER

TFL will be most lateral, sartorius most medial, RF in btw

Question 18

Palpate Adductor longus

Answer 18

Horizontal adduct at 90 degrees hip flexion

Cordlike

Question 19

Palpate pectineus

Answer 19

lateral to adductor longus

Question 20

Palpate gracilis

Answer 20

hip in flexion and ER, resist horizontal add, medial and posterior to longus

Question 21

Palpate iliopsoas

Answer 21

Medial to sartorius, lateral to pectineus, resist hip flexion

Question 22

Femoral triangle

Answer 22

Medial = adductor longus
Lateral = sartorius
Superiorly = inguinal lig
Lateral floor = iliopsoas
Medial floor = pectineus

Question 23

Palpate femoral head

Answer 23

Supine, just superior to middle of inguinal ligament
Sidelying - place hand at inguinal lig
Extend hip and feel it move

Question 24

Greater troch - what attaches here

Answer 24

Piriformis = internal/superior
Glut med = external/superior
Gemelli = medial on trach fossa (cant palpate)
Obt ext and int = medial on troch fossa (cant palpate)
Subtrochanteric burs

Question 25

Ischial Tuberosity - what attaches here

Answer 25

Adductor magnus = medial
Biceps femoris = semitend/mem
Sacrotuberous lig = superior
Ischial bursa

Question 26

Glut max palpate

Answer 26

Palpate iliac crest/running hands inf medial to find proximal attachment

Question 27

Glut med palpate

Answer 27

hands on lateral hip btw GT and iliac crest
have pt abduct 
Ant fibers = IR
Post fibers = ER
Stay in neutral

Question 28

TFL Palpate

Answer 28

distinguish from glut med

move into slight hip flexion

Question 29

Piriformis palpate

Answer 29

locate sacrum, GT, piriformis runs in btw

Question 30

Sciatic Nerve palpate

Answer 30

local ischial tub and GT - at midpoint is where sciatic nerve runs