Hip Exam Tests Flashcards
Tests for central compartment
- log roll
- c-sign
- Labral loading
- Labral distraction
- scour
- apprehension FABER 1
Tests for peripheral compartment
- log roll
- elys test
- rectus femoris test
Test for lateral compartment
- jumpsign
- straight leg raise test
- obers test
- piriformis test
- trendelenburg test
- patricks, FABER test 2
Test for anterior/iliopsoas compartment
- patricks, FABER 3
- psoas test
- thomas test
Contents of the central compartment
- labrum/ligementum teres
- articular surfaces
-look for: labral tears, teres tears, osteochondrotis, loose bodies
Peripheral contents
- femoral neck, synovial lining
- look for: loose bodies, impringment syndrome, synovitis
Lateral contents
- gluteus medius/minimus, piriformis, IT band, trochanteric bursa
- look for: IT syndrome bursitis, rotator cuff tendon pathologies
Anterior/iliopsoas content
-iliopsoas insertion, bursa,
Look for: psoas tendonitis/bursitis
What is the log roll test for central and peripheral compartment
- roll leg into internal and external rotation
- positive test= pain with motion
What is the c-sign test for central compartment?
- patient points source pain just above trochanter w/thumb and finger
- indicates labral pathology
What is the labral loading test for central compartment?
- flex patient knee and hip to 90 degrees
- load into femur toward innominate
- positive test= pain hip/low back
- indicates labral/cartilagenous pathology
What is labral distraction test for central compartment?
- distract patient femur away from innaminate
- positive test if improvement of pain from labral loading test
- indicates: labral/cartilagenous pathology
What is the scour test for the central compartment?
- flex/externally rotate patient hip
- load into socket and articulate through annular range of motion
- positive test= pain
- indicates labral/articular cartilage pathology
What is the apprehension FABER test for the central compartment?
- 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
What is elys test for peripheral compartment
- patient prone, passively flex patient knee
- positive test= ipsilateral hip raises off table
- indicates= rectus femoris contracture
What is the rectus femoris test for peripheral compartment?
- 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
What is the jumpsign for the lateral compartment?
- pt seated, pressure applied to greater trochanter
- positive= patient withdrawals/jumps when palpate greater trochanter
- indicates= trochanteric bursitis
What is the straight leg raise test for lateral compartment?
-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
What is obers test for lateral compartment?
- 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
What is the piriformis test for lateral compartment?
- 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
What is trendelenburg test for lateral compartment?
-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
What is patricks FABER 2 test for lateral compartment?
- 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
What is patricks FABER test for anterior compartment?
- 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
What is the psoas test of the anterior compartment?
- flex hip to 30 degrees while patent further flexes against resistance
- positive= pain/inability of snapping
- indicates= psoas contracture/pathology
