Hip Examination

Question 1

Hip Examination Order

Answer 1

Look, Feel, Move

Question 2

Hip Examination - Look

Answer 2

• Inspect from all sides.
• Assess Gait.
• Trendelenburg’s Test
• Thomas’s Test

Question 3

What is Trendelenburg’s Test?

Answer 3

Ask the patient to stand on one leg.
A positive test leads to the pelvis dipping on the contralateral side.

Question 4

What is Thomas’s Test?

Answer 4

Assessing for a fixed flexion deformity of a hip. Flex the contralateral hip. A positive test leads to the deformed hip rising off the bed.

Question 5

Hip Examination - Feel

Answer 5

• Do they have any pain?
• Palpate the greater trochanter.

Question 6

Hip Examination - Move

Answer 6

Active - Flexion, Abduction and Adduction.
Passive - Flexion, Abduction and Adduction
Passive Internal and External Rotation with hip extended and flexed.
Measure Leg Length - From Asis to Medial Malleolus.

Question 7

Hip Examination - Completion

Answer 7

Examine the Lumbar Spine and Knee
Offer Neurovascular Examination
Thank the Patient and ask them to redress and wash their hands.