Hip examination

Question 1

four common gait abnormalities that result from hip disorders?

Answer 1

• Coxalgic gait
• Antalgic gait:
• Trendelenburg gait,
• Neurologic or asymmetric gait,

Question 2

Coxalgic gait?

Answer 2

• the patient’s trunk leans to the affected side

Question 3

Antalgic gait?

Answer 3

spend less time bearing weight on the
affected limb in order to decrease the amount of time that force is transferred
through the limb and to avoid pain.

Question 4

Trendelenburg gait?

Answer 4

• weak hip abductors
• drop or tilt the pelvis contralateral to the side of the pain. lean the trunk toward the affected side.

Question 5

Neurologic or asymmetric gait?

Answer 5

• , shortens the stride length in the affected leg.

Question 6

Leg measurment?

Answer 6

• from the anterior superior iliac spine to the tip of the medial

Question 7

Log-roll test?

Answer 7

the patient assume the supine position. Then move the patient’s leg through
the points of maximal internal and external rotation. pain < positive

Question 7

Positive log-roll test?

Answer 7

acetabular labral tear

Question 7

Stinchfield resisted hip-flexion test?

Answer 7

• elevated the leg to an angle of 30 to 45 degrees, apply resistance to prevent further elevation < pain

Question 8

Positive Stinchfield resisted hip-flexion test?

Answer 8

intraarticular disorder: osteoarthritis or
femoroacetabular impingement.

Question 9

Fadir test?

Answer 9

• Flexion, adduction, and internal rotation test

Question 10

Why Faddir test?

Answer 10

determine whether there is hip impingement or a labral
tear.

Question 11

Faber test?

Answer 11

Flexion, abduction, and external rotation) test, Patrick’s test

Question 12

Why faber test?

Answer 12

detect intraarticular
lesions, iliopsoas strain or bursitis, or sacroiliac disease.

Question 13

Ober’s test?

Answer 13

the patient lying on the unaffected side and the hip in
slight extension, passively abduct the patient’s leg and
allow it to drop into adduction.

Question 14

Positive Ober’s test?

Answer 14

• leg remains in abduction or cannot be fully
  adducted < tight iliotibial band or tensor fascia latae muscle

Question 15

Thomas test?

Answer 15

the patient in the supine position, ask
the patient to fully flex one hip. Observe the
contralateral side.

Question 16

Positive Thomas sign?

Answer 16

If the contralateral hip flexes and the leg lifts off the table, the patient most likely has a fixed flexion deformity.
< contracture of
the hip or a tight iliopsoas muscle- tightness in the
hip flexors