Hip Special Tests Flashcards
What are 6 Hip contracture/tightness tests?
- Elys
- Obers test
- Piriformis test
- Thomas Test
- Tripod Sign
- 90-90 straight leg raise
What does a positive Ober’s test indicate?
IT band or TFL tightness
What is the Piriformis Test?
- Patient positioned in sidelying with test leg on top and hip flexed to 60.
- PT stabilizes pelvis and applies downward (adduction) force on knee.
Positive: pain or tightness indicating piriformis tightness or compression on the sciatic nerve
What is the Thomas Test (not modified)?
- Pt supine with legs extended
- Pt is asked to bring one of their legs to the chest in order to flatten the lumbar spine
- PT observes position of contralateral hip
Positive: the straight leg rises from table indicating hip flexion contracture
What is the Tripod sign?
- Pt sitting with knees flexed to 90 over edge of table.
- PT passively extends one knee
Positive: tightness in hamstrings or extension of trunk in order to limit the effect of tight hamstrings
What is the 90-90 straight leg raise test?
Patient in supine, pt asked to stabilize the hips in 90 degrees of flexion with the knees relaxed.
-PT instructs pt to alternately extends each knee as much as possible while maintaining hips in 90 degrees of flexion.
Positive: knee remaining in 20 degrees or more of flexion, indicating hamstring tightness
What are 2 pediatric tests for the hip?
- Barlow’s test
2. Ortolani’s test
What is Barlow’s Test?
Pt in supine with hips flexed to 90 and knees flexed
-PT tests each hip by stabilizing femur and pelvis with one hand and moving the test leg into adduction while applying forward pressure posterior to the greater trochanter with the other hand (SO LIKE CUP YOUR HAND AROUND THE THIGH AND PULL FORWARD TO REDUCE)
Positive: click or clunk indicating hip dislocation being reduced
THE CLASSIC BARLOW: push posteriorly to dislocate and then do Ortolani to relocate
What is Ortolani’s test?
- Pt in supine with the hips flexed to 90 and knees flexed.
- PT grasps the legs so that their thumbs are placed along the patient’s medial thighs and the fingers are placed on the lateral thighs toward the buttocks.
- PT abducts the patients hips and gentle pressure is applied to the greater trochanters until resistance is felt at approximately 30 degrees
PUSHING LIKE ANTERIOR ON GREATER TROCHANTERS TO RELOCATE
Positive: click or clunk indicated dislocation being reduced
What is the Anterior Labral Tear Test?
- PT places the patient’s hip in full flexion, external rotation, and abduction to begin the test.
- PT moves into extension, internal rotation, and adduction
MOVING SLOWLY FROM UP AND OUT TO DOWN AND IN
Positive: precense of pain and/or a click.
-diagnosing anterior labral tear or also indicative of iliopsoas tendonitis or anterior -superior impingement.
What is a normal result on Craig’s test?
8-15 degrees of anteversion (internal rotation of hip)
What is Patrick’s Test (FABER Test)?
-Pt in supine, leg is flexed, abducted and external rotated onto opposite leg. PT lowers leg through abduction towards table
Positive: failure of test leg to abduct below the level of the opposite leg indicating iliopsoas, sacroiliac or hip joint abnormalities
What does a positive Quadrant Scouring Test indicate?
pathologies such as arthritis, avascular necrosis or osteochondral defect
What is the Trendelenburg Test?
The patient is in standing and asked to stand on one leg for 10 seconds
-A positive test is indicated by drop of the pelvis on teh unsupported side and may be indicative of weakness of gluteus medius on supported side
