Hip tests

Question 1

Hip orthopedic tests

Answer 1

Scour tests (quadrant)

FABERE (flexion, abduction and external rotation)

FADIR (flexion, adduction and internal rotation)

Posterior labral tear test

Thomas test

Obers test

Trendelenberg sign

Question 2

Scour test (quadrant)

Answer 2

Look for:
– crepitus
– stresses/compresses femoral neck against acetabulum
– looking for- irregular movement, crepitus, pain or pt apprehension

+VE:
– increased local pain
– crepitus
—- would indicate- hip pathology, OA, labral tear

How:
– pt supine, flex kne ip and take hip through the hip movements, essentially a circumduction movement
– if there’s still no symptoms, press on 4 different areas to see if you can provoke symptoms.

Question 3

FABERE test

Answer 3

Looks for:
– hip joint pathology
– OA, capsulitis
– labral tear, acetabular impingement

+VE:
– pain or inability to perform motion

How:
– pt supine, asymptomatic side first, flex leg into bent position (flexion, abduction and external rotation)
– dont put it straight onto your patients leg as if they are old, might not be able to perform that movement

Question 4

FADIR test

Answer 4

Looks for:
– anterior-superior impingement syndrome (femoroacetabular impingement)
– anterior labral tear
– iliopsoas tendinitis/bursitis

+VE:
– production of pain
– reproduction of pt’s symptoms with or without a click or apprehension
—- pain can indicate:
—— arthritis, hip pathology, impingement, strain/sprain

How:
– pt supine
– flex, adduct and internally rotate hip
– can add it into a circumduction motion

Question 5

Posterior Labral Tear Test

Answer 5

Looks for:
– posterior labral tear
– anterior hip instability
– posterior-inferior impingement

+VE:
– groin pain
– apprehension
– reproduction of symptoms with or without a click

How:
– pt supine
– FADIR test (flexion, adduction and internal rotation)
– slowly externally rotate the hip and abduct, and then move it into extension (all in one movement)

Question 6

Ober’s test

Answer 6

Looks for:
– assesses tight TFL, looks for contracture and tightness
– trochanteric bursitis can also be looked for

+VE:
– Tight TFL or trochanteric bursitis
– when leg is lowered, the leg will stay in the air, which shows a positive test

How:
– pt sidelying
– lower leg flexed for stability
– lift up top (affected) leg that extended and extend the hip backwards off the couch, and drop the leg down
– leg should drop down off the couch

Question 7

Thomas test

Answer 7

Looks for:
– assesses hip flexor contracture

+VE:
– if extended leg lifts off bed
– check for excess lordosis- if pt has excess lordosis in lumbar spine, might not be able to see the positive as the leg may be pushed into the bed
– if leg doesn’t lift up but abducts- its called the ‘J sign’, shows a tight TFL

How:
– pt supine
– bring unaffected leg to chest and pull closer
– assessing leg left extended and flat

Question 8

Trendelenberg’s sign

Answer 8

Looks at:
– the stability of the hip
– the ability of the abductors of the hip to stabilise the pelvis on the femur

+VE:
– Pelvis on the opposite side to the flexed leg will drop down (non-stand side)

How:
– pt standing, ask them to stand on one leg by flexing one up