Hip Lecture Flashcards
Inspection of hip:
- Gait
- Iliac crests equal height
What is a pelvic obliquity?
- Unequal iliac crests
- May indicate leg length discrepancy
If leg length discrepancy suspected, what do you need to do?
Measure each leg length
- Pt lying down
- Measure from superior iliac spine across medial knee to medial malleolus
Bony palpation of hip:
- ASIS
- Iliac crests
- Greater trochanters
How can the pt facilitate palpation of the greater trochanter?
Internally rotate leg
If you suspect trochanteric bursitis, what can you do to test for it?
- Move leg into abduction and ER with knee flexed
- Sometimes reproduces pain
What are the groups of hip muscles?
Posterior extensors
Medial adductors
Lateral adductors
Anterior flexors
Which muscles of the hip can be palpated?
Rectus femoris (flexor) Gluteus medius (abductor) Hamstrings (extensors)
Which muscles are tested with flexion of the hip?
Iliopsoas
Rectus femoris
Which muscles are tested with extension of the hip?
Gluteus maximus
Hamstrings
Which muscles are tested with adduction of the hip?
Adductors longus, brevis, gracilis
Which muscles are tested with abduction of the hip?
Gluteus medius and minimus
How is the Thomas test performed?
- Pt lying down, examiner puts hand under lordotic curve of L spine
- Pt brings knee toward chest and holds it
- Examiner should feel curve flatten and contralateral hip should remain on table
What does the Thomas test assess?
Determines presence of a flexion contracture of the hip (from loss of hip extension)
Which hip is being tested in the Thomas test?
The contralateral hip (should remain on the table)
