Hip Special Tests

Question 1

iliofemoral ligament

Answer 1

medial/vertical

• pt prone
• PT IR, ext, and ABd hip while stabilizing posterior inominate

Lateral/horizontal

• Pt prone
• PR IR, ext, and ADd hip whil stabilizing posterior inmoniate

Question 2

Pubofemoral ligament

Answer 2

pt supine

PT stabilize pubic bone while ABd and slight Ext

Question 3

Ischiofemoral ligament

Answer 3

pt supine

PT stabilizes anterior inominate while flex, ADd, and IR the hip

Question 4

Ligamentum Teres

Answer 4

Pt supine

PT holds leg in flex and ADd the leg

Question 5

Trendelenberg Sign

Answer 5

pt on SLS ON AFFECTED LEG to test the correct side
hold for 30 seconds
look for any hip drop or weakness or unsteadyness
PT can lightly palpate crest of pelvis or PSIS

Question 6

Pelvic drop

Answer 6

pt on 8in step and do unilateral squat
look for knee going into valgus, pelvid drop, femoral IR and pronation
good to do with shoes on and then barefoot

Question 7

piriformis

Answer 7

pt supine with testing leg bent

PT puts compression force into hip through the knee and then again in ADd

Question 8

FAIR test

Answer 8

pt sidelying

PT bring hip into passive flex, ADd, and IR

Question 9

Thomas/Modified Thomas

Answer 9

1. pt supine and they bring bent knee to their chest
   look for flexion of the Lspine and lifting of other leg off the table
2. pt supine with legs off the edge of the table
   check for rectus, iliacus, psoas major, and TFL

Question 10

Ober’s Test

Answer 10

pt sidelying
PT supposts bent leg while stabilizing hip
allow the leg to drop
males should touch the table
females should be ~2in away from the table
MODIFIED: leg straight

Question 11

Hamstring test

Answer 11

90/90
pt self supports legs in 90/90 position
asked to straighten one leg at a time
SLR
PT lifts extended leg of pt. looking for other leg to rise up

Question 12

Adductors

Answer 12

pt supine
ADd testing leg. if they cannot reach 40 deg, bend leg and see if it goes further. if it does, the long Add were restricting. if not, the short Add tight

Question 13

Ely’s

Answer 13

pt prone
bend knee to stretch rectus femoris
is tight, pelvis will flex
also watch for any neurological signs on anterior thigh. may be indicative of femoral nerve syndrome

Question 14

Quadrant test

Answer 14

Scour test
pt supine
PT flexed hip to 90 and gives compression force to hip while IR and ADd leg
tests for OA ofthe hip

Question 15

FABER TEST

Answer 15

Pt supine
hip flex, ER, and ABd
post pain: SI
ant/groin pain: hip

Question 16

FADIR test

Answer 16

pt supine
hip flex, Add, and IR
testing for femoral acetabular impingement

Question 17

Craig test

Answer 17

testing for anteversion (15 deg) or retroversion (5 deg)
pt prone with knee flexed to 90 deg
PT IR and ER leg to feel for when the greater troch is at its most lateral position
hold in that position and measure the ankle of the leg

Question 18

Fulcrum test

Answer 18

pt seated with legs hanging off table
Place towel roll under femur and press femur distal to the towel
pain may be from femur fracture

Question 19

Patellar-pubis percussion test

Answer 19

pt supine
place stethescope over pubic symphasis
tap the patella, should here a sound if no fx
if sound if muffled, suspect fracture of the femur