Hip: Special Testing

Question 1

Impingement test: full flexion, IR, and adduction is used to look for

Answer 1

anterior FAI or labral tears

Question 2

Impingement test: hip ext, ER, abd is used to look for

Answer 2

posterior FAI or labral tears

Question 3

Impingement tests are positive when?

Answer 3

increased hip/groin pain

Question 4

Hip quadrant test aka

Answer 4

Fitzgerald’s test

Question 5

Hip quadrant test: procedure

Answer 5

passively bring hip from full flex/IR/add to full ext/ER/abduction

Question 6

Hip quadrant test: positive interpretation

Answer 6

pain reproduction in hip/groin or clicking

Question 7

Hip quadrant test: may detect what?

Answer 7

labral tears

FAI

Question 8

Scour test is positive when?

Answer 8

pain reproduction

clicking in joint

Question 9

Scour test: used to detect what?

Answer 9

• FAI
• labral tear
• acetabular dysfunction

Question 10

Scour test: sensitivity

Answer 10

Sn = 0.75

Question 11

Scour test: specificity

Answer 11

Sp = 0.43

Question 12

FABER aka

Answer 12

Patrick’s test

Question 13

FABER: provide OP where

Answer 13

through knee and opposite pelvis

Question 14

FABER: positive test

Answer 14

anterior hip/groin pain OR

significant asymmetry of motion

Question 15

FABER: may also create LBP as a result of

Answer 15

SIJ or lumbar dysfunction

Question 16

FABER: positive test in (%) of pts with labral tear

Answer 16

97%

Question 17

Trendelenberg sign: tested in what position

Answer 17

standing with one hip at 90˚ flexion

Question 18

Trendelenberg sign: (+) test for weakness of (muscle)

Answer 18

glute med

Question 19

Trendelenberg sign: (+) test with what resulting motion?

Answer 19

contralateral pelvic drop

Question 20

Trendelenberg sign: Compare results with those found in gait. If contralateral pelvic drop is seen, it is (compensated/uncompensated) Trendelenberg

Answer 20

uncompensated

Question 21

Trendelenberg sign: Compare results with those found in gait. If ipsilateral trunk shift is seen, it is (compensated/uncompensated) Trendelenberg

Answer 21

compensated

Question 22

Patellar-Pubic percussion test

Place stethoscope where?

Answer 22

pubic symphysis

Question 23

Patellar-Pubic percussion test

Procedure after placing stethoscope over pubic symphysis

Answer 23

tap patella on affected side and compare to unaffected side

Question 24

Patellar-Pubic percussion test

tests for

Answer 24

femoral or hip fracture

Question 25

Patellar-Pubic percussion test

(+) for femoral or hip fracture if

Answer 25

sound is diminished on involved side

Question 26

Patellar-Pubic percussion test

sensitivity

Answer 26

Sn = 0.91

Question 27

Patellar-Pubic percussion test

specificity

Answer 27

Sp = 0.86

Question 28

Sign of the Buttock: procedure

perform passive SLR and compare hip ROM to

Answer 28

passive hip flexion with knee flexed

Question 29

Sign of the Buttock: If increased hip mobility with knee flexed, suspect low back issue due to

Answer 29

HS tightness

neural tension

Question 30

Sign of the Buttock: If hip mobility/pain is the same with the knee flexed as SLR, test is positive for

Answer 30

hip dysfunction

Question 31

Sign of the Buttock: If pain/mobility is WORSE with the knee flexed, what is the implication?

Answer 31

positive for serious pathology