Hip & Pelvis Exam - Positive & Indicators Flashcards
Leg Length Discrepancy
Positive: Different measurementsIndicates: True = bony abnormality above or below level of trochanter difference (anatomical short leg)Apparent = pelvic obliquity (tilted pelvis)
Allis SignGaleazzi Sign
Positive: Difference in height and anteriority of the kneesIndicates: If one knee is lower = ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)If one knee is anterior = ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)
Thomas Test
Positive: Lumbar spine maintains lordosis (should flatten) and hip or leg flexesIndicates: Contracture of the hip flexors (iliopsoas)
Anvil Test
Positive: Localized pain in long bone or in hip jointIndicates: Possible fracture of long bones, or hip joint pathology
Patrick TestFABERE Sign
Positive: Pain in the hip regionIndicates: Hip joint pathology
Laguerre Test
Positive: Pain in the hip jointIndicates: Hip joint pathologyPositive: Pain in the sacroiliac jointIndicates: Mechanical problem of the sacroiliac joint
Gaenslen Test
Positive: Pain on the affected sacroiliac joint stressed into extensionIndicates: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint
Lewin-Gaenslen Test
Positive: Pain on the affected sacroiliac joint stressed into extensionIndicates: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint
Hibb Test
Positive: Pain in the hip regionIndicates: Hip joint pathologyPositive: Pain in the buttock/pelvic regionIndicates: Sacroiliac joint lesion
Ober Test
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)
Pelvic Rock TestIliac Compression Test
Positive: Pain in either sacroiliac jointIndicates: Sacroiliac joint lesion
Nachlas Test
Positive: Pain in the buttock and/or pain in the lumbar regionIndicates: Sacroiliac joint lesion, or lumbar pathology
Yeoman Test
Positive: Pain deep in the sacroiliac jointIndicates: Sprain of the anterior sacroiliac ligaments
Ely SignEly Test
Positive: Hip on side being tested will flex causing the buttock to raise off the tableIndicates: Rectus femoris or hip flexor contracture
Ely Heel to Buttock Test
Positive: Inability to raise the thighIndicates: Iliopsoas spasmPositive: Pain in the anterior thighIndicates: Inflammation of the lumbar nerve rootsPositive: Pain in the lumbar regionIndicates: Lumbar nerve root adhesions
