Hip Exam + Interventions

Question 1

what is pelvic cross syndrome?

Answer 1

1. excessive lumbar lordosis
2. may accompany excessive hip flexion (anterior pelvic tilt)
3. shortened erector spinae and iliopsoas, lengthened abdominals and glute max

Question 2

describe flat back posture

Answer 2

1. diminished lumbar lordosis
2. excessive hip extension
3. often associated with shortening of hamstrings, lengthening of hip flexors

Question 3

Elimination tests for the Hip paired with conditions

Answer 3

1. Glut Tendinopathy
   
   • resisted external derotation test
2. Intra-articular hip pathology
   
   • FADDIR Test
   • Thomas Test
3. Fracture
   
   • Patellar-Pubic Percussion Test
   • Fulcrum Test

Question 4

briefly describe how to perform the resisted external derotation test

Answer 4

1. pt in supine, passive ER the pt’s hip then have them push against you as you push into IR
2. if concordant pain is not provoked then repeat test in prone

Question 5

what is a +FADDIR test?

Answer 5

concordant pain, catching, locking, clicking

Question 6

briefly describe how to perform the Thomas Test (for intra-articular hip pathology)

Answer 6

1. assit pt with lying back onto table and bring knees to chest
2. pt maintain non-symptomatic toward body
3. passively lower the affected hip into extension

Question 7

what is +Thomas Test?

(for intra-articular hip pathology)

Answer 7

painful click/concordant anterior hip/groin pain

Question 8

describe a +Patellar-Pubic Percussion test

Answer 8

diminished (dampened) sound on symptomatic side

Question 9

list bone and joint structure you may palpate during a hip exam

Answer 9

1. ASIS
2. Pubic Tubercle
3. Iliac Crest
4. Greater Trochanter
5. Ischial Tuberosity

Question 10

list several soft structures you may palpate during a hip exam

Answer 10

1. femoral triangle
2. inguinal ligament
3. Psoas
4. Glutes

Question 11

Joint mobility testing at the hip is performed in what directions?

Answer 11

1. Anterior
2. Posterior
3. Longitudinal Distraction

Question 12

List confirmation tests that can be performed during a hip exam

Answer 12

1. Scower Test
2. FABER Test

*both for intra-articular hip pathology

Question 13

describe a +Scower Test

Answer 13

pain or apprehension during test

Question 14

describe a +FABER test

Answer 14

concordant anterior/lateral local hip pain