Hip OSCE Flashcards
1
Q
what are you assessing when looking at the patient?
A
gait and stance
standing: tilt, deformity, wasting and fixed flexion
supine: scars, symmetry, leg length (measure)
2
Q
what are you assessing when feeling?
A
temperature, greater trochanter
3
Q
what are you assessing when moving the leg
A
active ROM
passive ROM
flex, extend, abduct, adduct, int/ext rotation
4
Q
special tests
A
Thomas test
Trendelenburgs test
5
Q
describe Thomas test
A
supine
hand under lumbar spine
flex one hip, observe other hip
fixed flexion: other hip flexes as well
6
Q
describe trendelenbergs
A
standing
patient stands on one leg
observe contralateral hip
normal: hips remain level
weak abductors contralateral hip drops
7
Q
what extras would you offer?
A
examine joint above and below (spine and knee)
lower limb neuro and vasc exam
