Hip Pain

Question 1

How do you perform labral loading?

Answer 1

flex pt’s knee and hip to 90 degrees, load into femur
+ = pain
indicates: labral or cartilaginous pathology

Question 2

What does the patellar reflex check for?

Answer 2

L3/L4 nerve root

Question 3

How do you perform the scour test?

Answer 3

flex and externally rotate pt’s hip. Load into socket and articulate through annular range of motion
+ test = pain
indicates: labral or articular cartilage pathology

Question 4

How do you perform a jump sign test?

Answer 4

pt seated; pressure applied to greater trochanter
+ = pt withdraws or jumps w/ pressure
indicates: trochanteric bursitis

Question 5

What is the test for peripheral compartment?

Answer 5

Rectus femoris test

Question 6

How do you perform labral distraction?

Answer 6

flex pt’s knee to and hip to 90 degrees –> pull up
+ test = improvement of pain
indicates: labral or cartilaginous pathology

Question 7

How do you perform the FABER 1 apprehension test?

Answer 7

pt’s hip is flexed, abducted, and externally rotated. Physician induces further external rotation by applying a posterior force at the knee
+ test = anterior subluxation of hip or apprehension/pain
indicates: labral pathology or impingement

Question 8

How do you perform Patricks: FABER 3?

Answer 8

hip and knee flexed, ankle over knee
physician braces contralateral ASIS
pt internally rotates/adducts against resistance
+ test = anterior or medial groin pain/weakness
indicates: iliopsoas insufficiency or pathology

Question 9

How do yo perform Patrick’s FABER 2?

Answer 9

hip and knee flexed, ankle over knee; brace contralateral ASIS
Pt externally rotates/abducts against resistance
+ test = pain or weakness
indicates: gluteus medius pathology

Question 10

What is a landmare of L5 dermatome

Answer 10

Big toe/ first 4 toes

Question 11

What is a landmark of S1 dermatome?

Answer 11

pinkey toe

Question 12

How do you perform the rectus femoris test?

Answer 12

pt supine. one hip flexed up to chest. other leg over edge of table
+ test = knee flexion <90 degrees
indicates: rectus femoris contraction

Question 13

How do you perform a Thomas test?

Answer 13

Pt supine and pulls knees to chest; one leg is lowered to the table to test the flexibility of the hip flexors
+ test = inability to fully extend, or extended leg raises off table
indicates: hip flexor contraction

Question 14

How do you perform a straight leg raise test?

Answer 14

Pt supine. Flex pt’s hip w/ knee extended
+ = pain over lateral leg
15-30 degrees = IT band contracture
30-60 degrees = lumbosacral radiculopathy/ sciatic neuropathy
>70 = low back pain due to muscle strain or joint disease

Question 15

What are the anterior/iliopsoas compartment tests?

Answer 15

Patricks: FABER 3

Thomas Test

Question 16

What does the achilles tendon reflex check for?

Answer 16

S1 nerve root

Question 17

How do you perform a piriformis test?

Answer 17

hip and knee flexed, ankle over knee
pt abducts against resistance
+ test = pain over posterior aspect of greater trochanter
indicates: piriformis spasm or pathology

Question 18

What is the C-sign?

Answer 18

pt points to source of pain w/ 2 fingers or cups just above the trochanter w/ thumb and index finger
indicates: labral pathology

Question 19

What are the lateral compartment tests?

Answer 19

jump sign
straight leg raise test
piriformis test
Patrick’s FABER 2

Question 20

How do you perform the log roll test?

Answer 20

roll pt’s leg into internal and external rotation
+ = pain
indicates: central or peripheral compartment pathology

Question 21

What are the 5 tests for central compartment?

Answer 21

C-sign
labral loading
labral distraction
scour
Faber 1 apprehension

Question 22

What tests are done soon after birth to check for developmental hip dysplasia?

Answer 22

Ortolani and Barlow tests

Question 23

What is Legg-Calve-Perthes disease?

Answer 23

idiopathic avascular necrosis of the hip

ages 3-12

Question 24

What is a FAIR test?

What does it evaluate

Answer 24

Flexion
Adduction
Internal Rotation
piriformis syndrome

Question 25

When do you use an ober test?

Answer 25

External snapping hip, greater trochanteric pain syndrome

Question 26

What structures are located in the central compartment?

Answer 26

labrum
ligamentum teres
articular surfaces

Question 27

What structures are located in the peripheral compartment?

Answer 27

femoral neck

synovial lining

Question 28

What structures are located in the lateral compartment?

Answer 28

gluteus medius and minimus
piriformis
IT band
trochanteric bursae

Question 29

What structures are located in the anterior compartment?

Answer 29

iliopsoas intertion

iliopsoas bursae