Hip Tests

Question 1

doctor measures from apex of ASIS to medial malleolus

Answer 1

actual leg length

Question 2

positive sign for actual leg length

Answer 2

a difference of more than 6mm from the other leg

Question 3

positive sign for actual leg length indicates

Answer 3

hip joint or long bone deficiency

Question 4

doctor measures from umbilicus to medial malleolus

Answer 4

apparent leg length

Question 5

positive sign for apparent leg length

Answer 5

a difference of more than 6mm from the other leg

Question 6

a positive sign for apparent leg length indicates

Answer 6

pelvic subluxation

Question 7

patient lie supine with knees and hips flexed and feet flat on the table; doctor observes knees for ht discrepency

Answer 7

allis’ sign

Question 8

patient lie supine and the doctor elevates a straight leg and hits the bottom of the heel with a fist

Answer 8

anvil test

Question 9

positive sign with anvil test

Answer 9

pain in the kinetic chain from the heel to acetabulum

Question 10

patient lies with the affected side up and doctor grasps just above the ankle, abducts the leg and then internally and externally rotates the thigh

Answer 10

gauvain’s sign

Question 11

positive gauvain’s sign

Answer 11

• ipsilateral contraction of abdominal muscles
• hip pain
• referred pain to groin or anterior thigh

Question 12

gauvain’s sign designed to find

Answer 12

TB in preadolescents

Question 13

positive sign for telescoping test

Answer 13

excess joint play and/or palpable click in the joint

Question 14

positive sign for telescoping test indicates

Answer 14

hip dislocation or hip dysplasia

Question 15

patient lies supine, doctor stands on the unaffected side and patient crosses the leg into the figure 4 position while the doctor stabilizes opposite ASIS

Answer 15

patrick’s test

Question 16

positive sign for patrick’s test

Answer 16

pain in the hip or the patient is unable to perform

Question 17

patient lies with affected side up. doctor stands behind the patient and stabilizes the pelvis. doctor uses the other hand to abduct and extend the thigh and the hip. doctor then slides the hand from knee to ankle while keeping the knee bent

Answer 17

ober’s test

Question 18

what is a positive ober’s test

Answer 18

affected thigh remains abducted and may be painful or may drop with clonus

Question 19

a positive ober’s test indicates

Answer 19

IT band tightness

Question 20

patient lies supine and actively pulls the unaffected knee to the chest while keeping the other leg straight

Answer 20

thomas test

Question 21

a positive thomas test indicates

Answer 21

flexion contracture or shortening of iliopsoas on affected side

Question 22

patient stands on the affected foot and raises unaffected foot off of the ground

Answer 22

trendelenburg’s test

Question 23

a positive trendelenburg’s test

Answer 23

high iliac crest on supported leg and low iliac crest on the lifted leg

Question 24

a positive trendelenburg’s test indicates

Answer 24

gluteus medius insufficiency on the supported leg

Question 25

infant lies supine. doctor grasps both thighs and the level of the lesser trochanter and flexes and abducts the thighs bilaterally

Answer 25

ortolani’s test

Question 26

positive ortolani’s test

Answer 26

palpable click or “clunk”

Question 27

Which orthopedic test evaluates the patient for leg-length shortening caused by an abnormality above or below the trochanter level?

Answer 27

Actual Leg Length Test

Question 28

Which orthopedic test evaluates the patient for leg-length shortening caused by a pelvic obliquity?

Answer 28

Apparent Leg Length

Question 29

Which orthopedic test evaluates the patient for assessment for femoral and or Tibial structural deficiency?

Answer 29

Allis’ Sign (aka Galeazzi’s Sign)

Question 30

Which orthopedic test evaluates the patient for assessment for femoral, tibial, fibular and or calcaneal fracture?

Answer 30

Anvil

Question 31

Which side lying orthopedic test evaluates the patient for assessment for TB arthritis of the hip or adult onset osteonecrosis of the femoral head?

Answer 31

?

Question 32

Which orthopedic test evaluates the patient for untreated or undiagnosed congenital hip dislocation?

Answer 32

Hip Telescoping Test

Question 33

Which orthopedic test evaluates the patient for iliotibial band contracture?

Answer 33

Ober’s Test

Question 34

Which orthopedic test evaluates the patient for intracapsular coxa pathology seen in Flexion, Abduction, External rotation and extension?

Answer 34

?

Question 35

Which orthopedic test evaluates the patient for flexion contracture involving the iliopsoas?

Answer 35

Thomas Test

Question 36

Which standing orthopedic test is seen as a positive with patients that have gluteal paralysis, gluteal inhibition, and gluteal insufficiency or for congenital dislocation of the hip?

Answer 36

Trendelenburg’s Test

Question 37

Which orthopedic test evaluates the patient for slipped capital epiphysis?

Answer 37

?