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PHTH 7232 Ortho > Hip Special Tests > Flashcards

Hip Special Tests Flashcards

1
Q

Quadrant (Scour) Test: Everything

A
  • Indications: Pain in inner/outer quadrants of joint surface
  • Perform: Pt supine. Apply pressure/compression into table & circumduct (like compression-rotation test in shoulder)
  • Response: + if a restriction if felt ain the arc of motion &/or Pain is reproduced
  • Implications: Capsular tightness, adhesion, myofacial restriction, or loss of joint congruity
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1
Q

Flexion-Add-IR Test: how to perform

A

Pt supine

Static test

  • passive flexion & IR (end range)
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2
Q

Fulcrum Test: Everything

A

Indications: Possible femoral stress fracture

Perform: pt in dependent position. Start at distal end of femur and work proximally. Put one wrist under femur with thumb up. push toward table with other hand distal to fulcrum hand.

Response: + if reproduction of sharp pain

Implications: femoral shaft stress fractures

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3
Q

Anterior Labral Tear (FADDIR) Test: Everything

A

Implications: Pain &/or clicking over hip

Perform: pt supine. dynamic. start in figure 4 position. Push into flexion, adduction & IR before returning leg to table.

Response: + if reproduction of s/s, Pain, &/or click

Implicationis: Anterior Labral tear &/or anterior-superior FAI

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4
Q

Other name for Quadrant Test

A

Scour Test

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5
Q

Ober Test: Response

A

+ if involved knee does not cross midline

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6
Q

Other name for Piriformis Test

A

FAIR Test

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7
Q

Five Other Hip Tests

A
  1. Patrck’s (FABER) Test
  2. Fulcrum Test
  3. Piriformis (FAIR) Test
  4. Craig Test
  5. Quadrant (Scour) Test
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8
Q
A

Cute Chickies!

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9
Q

Piriformis (FAIR) Test: Everything

A

Implications: Possible piriformis syndrome or sciatic entrapment under piriformis

Perform: pt contralateral sidelying. Stand anterior to pt. Stablize hip. straighten tabled leg. bend top leg to 60°, hook toe under other leg. Aply pressure (IR) to knee towards floor.

Response: + if reproduction of P or s/s over intersection of priformis & sciatic nerve.

Implications: Tight and/or irritated piriformis that may be contribution to sciatic symptoms

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10
Q

Which tests have a + response of reproduction of s/s, pain, &/or click? (4)

A

The Hip Labral Tear Tests

  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test
  4. Posterior Labral Tear Test
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12
Q

90/90 SLR Test: Everything

A

Implications: Pain over hip &/or SIJ (tests hamstring flexibility)

Perform: pt supine. Move hip to 90° flexion (pt may hold it here with hands). Passively estend knee as far as it will go and measure degrees of knee extension.

Response: + if knee doesn’t fully extend (described as > 0°). Meausre ROM and record to track progress over time.

Implications: Impaired flexibility of the hamstrings

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12
Q

Other name for FAIR test

A

Piriformis Test

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14
Q

Flexion-Add-IR Test: Everything

A

Indications: Pain &/or clicking over hip joint

Perform: pt supine. Static. Apply Flexion & IR overpressure

Response: + if reproduction of s/s, Pain, &/or click

Implications: Anterior laberal tear &/or FAI

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15
Q

Thomas Test: Everything

A

Purpose: assess anterior labrum or flexibility in hip

Indications: Pain over hip &/or SI (flex), or Pain &/or lcicking over hip.

Perform: pt in dependant position with knees off table several inches. Have pt fully flex hip and hold knee to chest. Assist pt with lying back on table.

Response: + rectus femoris, thigh on table but knee flexion < 80°; + Iliopsoas, knee flexion > 80° but thigh off table; + both if thigh off table and knee flexion is < 80°. + anterior labrum if reproduce s/s with or without click (may apply overpressure on tabled femur).

Implications: impaired flexibility of iliopsoas &/or rectus femoris. OR Anterior labral tear &/or ant-superior FAI.

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16
Q

Posterior Labral Tear Test: everything

A

Indications: Pain &/or clicking in hip

Perform: pt supine. Dynamic. Start in flexion, IR, & adduction. Move through Flexion, ER & Abduction before returning leg to table.

Respones: + if reproduction of s/s, Pain, with/without click

Implications: Posterior Labral tear &/or posterior-inferior FAI

17
Q

Other name for Scour Test

A

Quadrant test

18
Q

Ely’s Test: Everything

A

Indications: Pain over hip &/or SIJ (tests rectus femoris flexibilty)

Perform: pt prone. passively flex knee

Response: + if knee flexion is < 90°

Implications: impaired flexibility of Rectus Femoris

19
Q

Modified Ober Test: Everything

A

(Like Ober Test but with knee extended)

Implications: pain over hip &/or SIJ

Perform: pt in contralateral sidelying. Stand behind pt, lift leg up & over (abduct/adduct while extending hip to end range). Stabilize pelvis on iliac crest. Allow leg to drop (be sure pelvis doesn’t move!). Note how far knee drops.

Response: + if knee does not cross midline

Implications: impaired flexibility of ITB (& TFL?)

19
Q

Flexion-Add-IR Test: Implications

A

Anteriror Labral Tear &/or FAI

21
Q

Ely’s Test: how to perform

A

pt prone

Passively flex knee to end range

22
Q

Other name for FADDIR Test

A

Anterior Labral Tear Test

23
Q

What tests ore indicated by pain &/or clicking over the hip joint? (4)

A
  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test
  4. Posterior Labral Tear Test
24
Q

Flexion-Add-IR Test: Response

A

+ if reproduction of pain &/or click

25
Q

Other name for FABER test

A

Patrick’s test

26
Q

Another name for the Anterior Labral Tear Test

A

FADDIR test

27
Q

Craig Test: Everything

A

Indications: To assess degrees of femoral anteversion or retroversion

Perform: pt prone. Flex knee to 90°. Palpate posterior greater trochanter. Passively IR/ER hip until G. Trhoch is parallele with table (when G. Troch is most lateral), then measure IR or ER at that position with gonio.

Response: An > 8-15° in direction of IR, is considered to be anteversion (

Implications: Determines angle of femoral anteversion

28
Q

Anterior Labral Tear (FADDIR) Test: How to perform

A

pt supine

Dynamic test

  • Start in figure 4 position
  • Push hip into Flexion, Adduction and IR before returning it to the table
29
Q

90/90 SLR: How to perform

A

pt supine

Passively move hip to 90° flexion (pt may hold it there with hands). Passively extend knee. Note how far it can extend.

Response: > 0° flexion implicates reduced hamstring flexibility

30
Q

90/90 SLR: Response

A

Response: If knee remains > 0°

31
Q

Flexion-Add-IR Test: indications

A

Pain &/or clicking over hip joint

32
Q

Five Hip Flexibility Tests

A
  1. Ober’s Test
  2. Modified Ober’s Test
  3. Thomas Test
  4. 90/90 SLR
  5. Ely’s Test
33
Q

Modified Ober Test: Indications

A

Pain over hip &/or SIJ

(tests for ITB tightness - and maybe TFL tightness)

Indicated with hip/knee pathology

34
Q

What are the advantages and disadvantages of the Ober test vs the Modified Ober Test?

A

The Modified Ober Test puts more tension on ITB because it is in a more lengthened position.

but

It also creates more levarage to rotate pelvis (due to the longer moment arm), so this makes it harder to stabilize the pelvis (which could confound results if the pelvis accidently moves).

35
Q

Other name for Patrick’s Test

A

FABER Test

36
Q

Three tests that implicate Anterior labral tear and/or ant-sup FAI

A
  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test
37
Q

Four Labral Tear Tests

A
  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test
  4. Posterior Labral Tear Test
38
Q

Patrick’s (FABER) Test: Everything

A

Indications: Need to differentiate between lumbar, hip, SI pathology (cannot tell what is wrong, just where)

Perform: pt supine. put in figure 4, stablize contralateral ASIS, press knee toward table. If hurts ask where.

Response: + if reproduction of s/s, pain &/or loss of motion compared to opposite side

Implications: Pain in groin suggest hip pathology; Paoin in gluteal region suggests SIJ pathology; P in lateral hip suggests hip capsule pathology.

PHTH 7232 Ortho (21 decks)

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