Hip Examination

Question 1

Hip pre-flight check

Answer 1

EXPOSURE
Orthotics
Standing to sitting
NB inspect briefly

Question 2

Gait patterns

Answer 2

Antalgic
Trendelenberg 
Short leg
Stiff hip
NB! facial expressions when walking

Question 3

Trendelenberg test

Answer 3

ASIS from ing. lig.

Are thumbs parallel and are they perpendicular to the floor?

Question 4

LOOK

Answer 4

NB! FLAT HARD BED! esp. to get marks

Look for scars and sinuses, erythema & skin changes.

Question 5

FEEL

Answer 5

• Greater trochanter- 3cm down and 2cm from ASIS
• LLD - true = from ASIS to med malleolus
  - apparent = from umbilicus/ xiphisternum to med malleolus
• FOOT PULSES!
• Galleatzi test= ASIS to patella measurement legs @ 90^
• Brians Triangle

Question 6

MOVE

Answer 6

NB! Always do active and passive to get full marks
Thomas test= fixes flexion deformities…abolish
lumbar lordosis
Internal rotation = 90^ @ knee in flexion
External rotation= “”
ABduction = nb! Hand on pelvis. When at max
aBDuction pelvis will rock.
Adduction

Question 7

NEURO

Answer 7

Sensation
Tone
Power
Reflexes

Question 8

Lumbar spine screen

Answer 8

Palate down …
…Spine
…Facet joints
…SI joints