Hip & Pelvis

Question 1

Bony Palpation

Answer 1

Ant: 
1) ASIS
2) Iliac crest
3) Iliac tubercle
4) Greater Trochanter
Post:
1) PSIS
2) Ischial tuberosity
3) Coccyx

Question 2

Soft Tissue Palpation

Answer 2

1) Femoral triangle borders (Sartorius, Adductor Longus, Inguinal Ligament)
2) Quads (Vastus Lateralis, Medialis, Intermedius, & Rectus Femoris)
3) Greater trochanteric bursa
4) Gluteus medius
5) Gluteus maximus
6) Sciatic Nerve
7) Cluneal Nerve
8) Hamstrings (Biceps femoris, Semitendinosus, Semimembranosus)

Question 3

Range of Motion

Answer 3

Flexion: 120
Extension: 30
Abduction: 45
Adduction: 45
Internal rotation: 45
External rotation: 45
Flexion and Adduction
Flexion, Abduction, & External Rotation

Question 4

Leg Length Discrepancy

Answer 4

Positive: Different measurements
Indicates: True = bony abnormality above or below level of trochanter difference (anatomical short leg) Apparent = pelvic obliquity (tilted pelvis)

Question 5

Allis Sign (Galeazzi if for 1 month to 2 years)

Answer 5

Positive: Difference in height and anteriority of the knees
Indicates: 1) If one knee is lower = ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
2) If one knee is anterior = ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)

Question 6

Thomas Test

Answer 6

Positive: Lumbar spine maintains lordosis and opposite hip does not straighten
Indicates: Contracture of the hip flexors (iliopsoas)

Question 7

Anvil Test

Answer 7

Positive: Localized pain in long bone or in hip jt
Indicates: Possible fx of long bones, or hip jt pathology

Question 8

Patrick Test (FABERE sign)

Answer 8

Positive: Pain the hip region
Indicates: Hip jt pathology

Question 9

Laguerre Test

Answer 9

Positive: 1) Pain in the hip jt
2) Pain in the SI jt
Indicates: 1) Hip jt pathology
2)Mechanical problem of the SI jt

Question 10

Gaenslen Test

Answer 10

Positive: Pain on the affected SI jt stressed into extension
Indicates: General SI jt lesion, ant. SI lig spain, or inflammation of the SI jt

Question 11

Lewin-Gaenslen Test

Answer 11

Positive: Pain on the affected SI jt stressed into extension
Indicates: General SI jt lesion, ant. SI lig sprain, or inflammation of the SI jt

Question 12

Hibb Test

Answer 12

Positive: 1) Pain in the hip region
2) Pain in the buttock/pelvic region
Indicates: 1) Hip jt pathology
2) SI jt lesion

Question 13

Ober Test

Answer 13

Positive: Affected thigh remains in abduction. (Normal biomechanics, the thigh/hip will adduct)
Indicates: Contraction of the iliotibial band or tensor fascia lata (Usually secondary to synovitis of the hip, secondary to trauma of the gluteus medius and maximus)

Question 14

Pelvic Rock Test (Iliac Compression Test)

Answer 14

Positive: Pain in either SI jt
Indicates: SI jt lesion

Question 15

Nachlas Test

Answer 15

Positive: Pain in the buttock and/or pain in the lumbar region
Indicates: SI jt lesion or Lumbar pathology

Question 16

Yeoman Test

Answer 16

Positive: Pain deep in the SI jt
Indicates: Sprain of the ant. SI lig

Question 17

Ely Sign (Ely Test)

Answer 17

Positive: Hip on side being tested will flex causing the buttock to raise off the table
Indicates: Rectus Femoris or hip flexor contracture

Question 18

Ely Heel to Buttock Test

Answer 18

Positive: 1) Inability to raise the thigh
2) Pain in the ant. thigh
3) Pain in the lumbar region
Indicates: 1) Iliopsoas spasm
2) Inflammation of lumbar nerve roots
3) Lumbar nerve root adhesions

Question 19

Trendelenburg Test

Answer 19

Positive: High iliac crest on supported side and low crest on side of elevated leg
Indicates: Weak gluteus medius muscle on the supported side