HIP/LUMBAR/SIJ orthopedic tests

Question 1

Functional Testing (Squat/ hop/ jump)

Answer 1

Plantar fasciitis
Meniscal tear
Hip pathology (fracture)

Question 2

Scour (quadrant)
Non-specific hip pathology and change in ROM

Stresses bone, labrum, cartilage, ligaments

Answer 2

-Osteoarthritis
-Labral tear/acetabular labrum defect
-Avascular necrosis (AVN)
-Joint capsule tightness

Question 3

Patrick FABER

Answer 3

-SIJ dysfunction
-Iliopsoas hypertonicity
-Hip joint pathology - i.e. bone spur

Question 4

FADDIR
Assess for crepitus, pain, apprehension

Answer 4

-Anterior superior impingement syndrome
-Anterior labral tear
-Iliopsoas tendinitis

Used to assess FAI

Question 5

Posterior impingement test
Assess for crepitus, pain, apprehension

Answer 5

-Posterior inferior impingement
-Posterior labral tear
-Anterior hip instability

Question 6

Hibb’s test

Answer 6

-SIJ lesion
-Hip joint lesion (arthritis/sprain)
-Piriformis syndrome/sciatic nerve involvement

Question 7

Craig’s test
Greater trochanter position
Angle should be between 8-15 degress

Answer 7

Positive sign is anteversion - toeing in or retroversion - toeing out

Question 8

Apparent leg length

Answer 8

Measurement taken from the umbilicus to medial malleoli’s

Question 9

Allis test

Answer 9

Leg length discrepancy
-Higher knee - Tibial length discrepancy
-Anterior knee - Femoral length discrepancy

Question 10

Anvil
Used as a last resort

Answer 10

Pain in groin/apprehension
-Femoral neck stress fracture
-Hip arthritis
-Hip joint pathology
-Infection

Question 11

Lever (fulcrum)

Answer 11

Pain/apprehension
-Femoral neck stress fracture
-FAI
-Femoral head/hip capsule pathology

Question 12

Sign of the buttock

Answer 12

Used to differentiate hip/buttock pathology and hamstring/sciatic or potentially disc

Question 13

Ober

Answer 13

ITB/TFL hypertonicity

Question 14

Thomas

Answer 14

-Iliopsoas, rec fem, sartorius and TFL/ITB hypertonicity

Question 15

Trendelenburg

Answer 15

Used to assess the functional capacity of glute Medius

Would be positive with legg-calve-perthes disease and slipped femoral capital epiphysis

Question 16

FAI

Answer 16

Test hip ROM (will be decreased), pain with single leg squat and walking up stairs, decreased hip flexion strength
Tests – FADIR

Question 17

Osteoarthritis

Answer 17

Scour (quadrant) – Sultive cluster – scour, squat, hip flex, hip extension, decreased internal rot, Allis test (leg length)

Question 18

AS

Answer 18

Schobers test
Ott’s (for thoracic however)

Question 19

Cluster of laslett

Answer 19

Distraction, compression, thigh thrust and
sacral thrust

Question 20

Cluster of Van den wurff

Answer 20

Distraction, compression, thigh thrust,
Gaenslen’s and Patrick Fabere

Question 21

SIJ testing

Answer 21

Adarm’s belt test
Springing the sacrum
Sacral distraction
Sacral compression
Sacral thrust
Thigh thrust
Gaenslens

Question 22

Stoop test

Answer 22

Neurogenic intermittent claudication
Lumbar spinal stenosis