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ECOS 1 Pre-Midterm > Hip joint exam > Flashcards

Hip joint exam Flashcards

1
Q

What is the correct order of items you need to do on a joint exam?

A

Inspection, palpation, range of motion, neurovascular exam, specialty tests

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2
Q

Do you perform all examinations bilaterally?

A

YES

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3
Q

What are you looking for upon inspection?

A

Asymmetry, swelling, bruising, general appearance, gait

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4
Q

What are you palpating and looking for?

A

Greater trochanter, ASIS, iliac crests

Looking for tenderness, tissue texture abnormalities, temperature

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5
Q

What are the range of motions at the hip?

A

Flexion, extension, abduction, adduction, internal and external rotation

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6
Q

The strength test values

A

Assessed 0/5 - 5/5

5/5 = normal, 0/5 = no contraction

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7
Q

What is the normal value for a strength test?

A

5/5 - full active motion against resistance from me with no fatigue

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8
Q

What is included in the neurovascular exam?

A

Reflexes, sensation, pulses, capillary refill

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9
Q

What are the specialty tests for the hip joint?

A

Log roll, FAIR, thomas test, FABER, jump sign, Ober test, Labral loading and distraction, Scour test, straight leg raise

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10
Q

How would you perform a log roll?

A

Patient supine, internally and externally rotate their thigh

+ test = pain or clicking

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11
Q

How would you perform a FAIR test?

A

Patient lateral recumbent - Flexion, Adduction, internal rotate of hip
+ test = pain in sciatic/gluteal region

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12
Q

What is a FAIR test testing?

A

Piriformis syndrome (sciatic impingement)

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13
Q

How would you perform a Thomas test?

A

Patient supine with legs hanging off of the table, have them flex one knee to their chest and if their extended leg is unable to fully extend or comes off of the table = + test

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14
Q

What is a Thomas test testing?

A

Hip flexors - iliopsoas

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15
Q

How would you perform a FABER test?

A

Flexion, ABduction, external rotation with patient supine - have knee crossed onto other leg and push down
+ test = pain

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16
Q

How would you perform a jump sign and what is it testing?

A

Press against the greater trochanter when patient is sitting and if there is pain, they may have trochanteric bursitis

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17
Q

How would you perform the Ober test?

A

Patient lateral recumbent, top hip extended, knee flexed and Adduct it
+ test = pain or inability to adduct

18
Q

How would you perform a labral loading/distraction test?

A

Patient supine, flex hip and flex knee and load into it or pull away

19
Q

How would you perform a Scour test?

A

Patient supine, flex and externally rotate hip and load in to it

20
Q

What are labral loading/distraction and the Scour test testing?

A

Labral tears and cartilagenous injuries

21
Q

How would you perform a straight leg raise test?

A

Patient supine, flex their hip (raise leg) and keep knee extended
+ test = if they resist or feel pain

22
Q

What is a normal ROM for hip flexion?

A

90

23
Q

What is a normal ROM for hip extension?

A

15-30

24
Q

What is a normal ROM for hip abduction?

A

45-50

25
Q

What is a normal ROM for hip adduction?

A

20-30

26
Q

What is a normal ROM for hip internal/external rotation?

A

30-40

27
Q

What is the patellar reflex testing?

A

L4

28
Q

What is the achilles reflex testing?

A

S1

29
Q

What is the scale for reflex testing?

A

0/4 - 4/4
0/4 = absent reflex
+2/4 = normal
+4/4 = Hyperactive and not normal

30
Q

How would you do a dermatome/sensory test?

A

Have patients close eyes, ask if they can feel this bilaterally, on knee cap, down leg and on to medial and lateral foot sides

31
Q

Where would you check for pulses?

A

Posterior tibialis - behind medial mallelous

Dorsalis pedis - on dorsal foot

32
Q

What is the scale for pulses?

A

0/3 - 3/3
+2/3 = normal
+3/3 = bounding

33
Q

What tests would be positive on someone with piriformis syndrome?

A 
Log roll (external rotation) and FAIR test 
Pain in gluteal region
34
Q

With a log roll, pain in the groin or anterior side could possibly mean what?

A

FAI, AVN, SCFE or clicking = labral tear

Intra-articular pathologies

35
Q

To test if piriformis syndrome is causing sciatic nerve irritation, what test you would perform?

A

FAIR - lateral recumbant, flex top hip and knee, adduct and internally rotate

36
Q

Positive findings for the FABER test with pain in groin could mean what?

A

Intra-articular things like FAI, Labral tear or osteoarthritis

37
Q

Positive findings for the FABER test with pain in the buttock region could mean what?

A

Sacroilitis

38
Q

Describe the OBER test

A

Pt lateral recumbant, top hip extended, knee flexed and adducted

39
Q

What can a positive ober test mean?

A

Trochanteric bursitis

40
Q

What does performing the log roll with a negative finding rule out?

A

Intra-articular things

41
Q

If the labral load and scour tests were positive for pain and the labral distraction was positive for IMPROVEMENT of pain what could that suggest?

A

Cartilagenous involvement

42
Q

Pain with a SLR between 30-60 degrees indicates what?

A

Lumbar disc herniation between L4-S1

ECOS 1 Pre-Midterm (14 decks)

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