Hip Tests

Question 1

Trendelenburg’s Sign

Answer 1

• ST
• Standing

1. slowly lift one foot off the ground

Positive Test: hip on the non-weight bearing leg drops/is lower than the weight bearing side

Interpretation:
weakness in the hip abductors, gluteus minims/medius on the weight bearing leg (cannot stabilize pelvis)

Question 2

**Fulcrum test

Answer 2

• ST

- sitting

Question 3

Lateral Rotators of the Hip

Answer 3

• MMT
• sitting w/knees bent over side

1. with one hand examiner applies pressure @ lateral side of lower end of thigh
2. with other hand examiner applies pressure @ medial side of the leg above the ankle
3. pushes the leg outward in an effort to rotate the thigh medially

Positive test:
medial rotation of the femur accompanied by pronation of the foot. also a tendency toward valgus position

Question 4

Subjective Evaluation (considerations)

Answer 4

• pt. age
• weight bearing structure
• MOI
• nature of complaints
• Site, Source & Course

Question 5

Common Radicular/Referral Patterns

Answer 5

• anterior labral/hip flexor strain = groin and medial thigh
• Posterior labral tear = buttocks pain
• Trochanteric Bursitis = radiating down the lateral thigh

Question 6

Kinds of pain

Answer 6

• sharp intense pain = fracture

- increased pain while sitting with legs crossed = trochanteric bursitis

Question 7

Joint Mobilizations

Answer 7

• Anterior glide
• Posterior glide
• Inferior glide

Question 8

Loose packed position

Answer 8

30 degrees flexion
30 degrees abduction
slight lateral rotation

Question 9

Craig’s Test

Answer 9

• Prone w/knee flexed to 90
• examiner palpates the posterior aspect of the greater trochanter
• measure angle formed between the vertical axis extending from the table top and the longitudinal axis of the lower leg
• greater than 20 degrees is considered abnormal

Question 10

Craigs test findings

Answer 10

• normal range = 8-15 degrees
• excessively greater than 15 degrees is femoral anteversion (internal torsion)
• excessively less than 8 degrees is femoral retroversion (external torsion)

Question 11

Anterior Labral Tear Test

Answer 11

• supine
• examiner takes hip into full flexion, lateral rotation, and full abduction as starting position
• examiner extends hip combined with medial rotation and adduction

Question 12

Anterior Labral Tear Test Postitive Findings

Answer 12

• production of pain
• reproduction of patients symptoms with/or w/out click or apprehension

*Test puts the greatest strain on the anterolateral labrum