Hip Exam Tests

Question 1

Tests for central compartment

Answer 1

• log roll
• c-sign
• Labral loading
• Labral distraction
• scour
• apprehension FABER 1

Question 2

Tests for peripheral compartment

Answer 2

• log roll
• elys test
• rectus femoris test

Question 3

Test for lateral compartment

Answer 3

• jumpsign
• straight leg raise test
• obers test
• piriformis test
• trendelenburg test
• patricks, FABER test 2

Question 4

Test for anterior/iliopsoas compartment

Answer 4

• patricks, FABER 3
• psoas test
• thomas test

Question 5

Contents of the central compartment

Answer 5

• labrum/ligementum teres
• articular surfaces

-look for: labral tears, teres tears, osteochondrotis, loose bodies

Question 6

Peripheral contents

Answer 6

• femoral neck, synovial lining

- look for: loose bodies, impringment syndrome, synovitis

Question 7

Lateral contents

Answer 7

• gluteus medius/minimus, piriformis, IT band, trochanteric bursa
• look for: IT syndrome bursitis, rotator cuff tendon pathologies

Question 8

Anterior/iliopsoas content

Answer 8

-iliopsoas insertion, bursa,

Look for: psoas tendonitis/bursitis

Question 9

What is the log roll test for central and peripheral compartment

Answer 9

• roll leg into internal and external rotation

- positive test= pain with motion

Question 10

What is the c-sign test for central compartment?

Answer 10

• patient points source pain just above trochanter w/thumb and finger
• indicates labral pathology

Question 11

What is the labral loading test for central compartment?

Answer 11

• flex patient knee and hip to 90 degrees
• load into femur toward innominate
• positive test= pain hip/low back
• indicates labral/cartilagenous pathology

Question 12

What is labral distraction test for central compartment?

Answer 12

• distract patient femur away from innaminate
• positive test if improvement of pain from labral loading test
• indicates: labral/cartilagenous pathology

Question 13

What is the scour test for the central compartment?

Answer 13

• flex/externally rotate patient hip
• load into socket and articulate through annular range of motion
• positive test= pain
• indicates labral/articular cartilage pathology

Question 14

What is the apprehension FABER test for the central compartment?

Answer 14

• patient hip is flexed, abducted, externally rotated
• doctor induces further external rotation by applying posterior force at the knee
• positive test= anterior subluxation of hip or apprehension/pain
• indicates= anterior labral pathology
• also positive with impringment

Question 15

What is elys test for peripheral compartment

Answer 15

• patient prone, passively flex patient knee
• positive test= ipsilateral hip raises off table
• indicates= rectus femoris contracture

Question 16

What is the rectus femoris test for peripheral compartment?

Answer 16

• pt supine one hip flexed up to chest and other leg of the edge of the table
• positive test= knee flexion less than 90 degrees while thigh flat on table
• indicates= rectus femoris contraction ipsilaterally

Question 17

What is the jumpsign for the lateral compartment?

Answer 17

• pt seated, pressure applied to greater trochanter
• positive= patient withdrawals/jumps when palpate greater trochanter
• indicates= trochanteric bursitis

Question 18

What is the straight leg raise test for lateral compartment?

Answer 18

-raise leg with knee extended, nonspecific test
-positive test= pain
If pain 15-30 degrees= lumbar disc etiology
If pain over 15 degrees= lateral compartment pathology

Question 19

What is obers test for lateral compartment?

Answer 19

• pt lateral recumbent w/dr. Behind pt.
• abduct top leg and lower leg to table to stabilize hip
• positive= inability to adduct
• indicates= IT band contracture

Question 20

What is the piriformis test for lateral compartment?

Answer 20

• pt supine with hip and knee flexed, one ankle crossed over knee
• pt. Abducts against resistance (push against dr. Hand)
• positive= pain posterior to greater trochanter
• indicates= piriformis spasm/pathology

Question 21

What is trendelenburg test for lateral compartment?

Answer 21

-pt standing w/dr. Behind and pt lifts 1 foot off the ground
-positive= weakness/inability to hold hips level and hip drops
-indicates= contralateral gluteus medius weakness (superior gluteal n)
Ex) life R foot, right hip drop=left superior gluteal n. Issue

Question 22

What is patricks FABER 2 test for lateral compartment?

Answer 22

• pt hip flexed, abdicated, externally rotated
• doc braces controlateral ASIS and patient extenrally rotates/abducts against resistance (pushes down against doc hand)
• positive= pain/weakness
• indicates= gluteus medius pathology

Question 23

What is patricks FABER test for anterior compartment?

Answer 23

• pt hip flexed, abducted, externally rotated
• doc braces contralateral ASIS and pt internally rotated/abducts against resistence (pt pushes UP against doc hand going down)
• positive= anterior/medial groin pain/weakness
• indicates= iliopsoas insuffciency/pathology

Question 24

What is the psoas test of the anterior compartment?

Answer 24

• flex hip to 30 degrees while patent further flexes against resistance
• positive= pain/inability of snapping
• indicates= psoas contracture/pathology

Question 25

What is the difference between the 3 FABER test?

Answer 25

1. Apprehension FABER= central compartment, doc applies force @ knee push down–> labral pathology
2. Patrick FABER test= lateral compartment, pt pushes down against doc hand–> gluteus medius pathology
3. Patrick FABER test= anterior compartment, pt pushes UP against doc hand–> iliopsoas pathology

Question 26

What is the thomas test for anterior compartment?

Answer 26

• pt supine with legs off the table
• pull knee to chest and one leg lowered to table
• test flexibility of hip flexors
• positive= inability to fully extend or if leg raises of the table (exhadurated lumbar lordosis)
• indicates= hip flexor contracture