Hip Tests Flashcards
doctor measures from apex of ASIS to medial malleolus
actual leg length
positive sign for actual leg length
a difference of more than 6mm from the other leg
positive sign for actual leg length indicates
hip joint or long bone deficiency
doctor measures from umbilicus to medial malleolus
apparent leg length
positive sign for apparent leg length
a difference of more than 6mm from the other leg
a positive sign for apparent leg length indicates
pelvic subluxation
patient lie supine with knees and hips flexed and feet flat on the table; doctor observes knees for ht discrepency
allis’ sign
patient lie supine and the doctor elevates a straight leg and hits the bottom of the heel with a fist
anvil test
positive sign with anvil test
pain in the kinetic chain from the heel to acetabulum
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
gauvain’s sign
positive gauvain’s sign
- ipsilateral contraction of abdominal muscles
- hip pain
- referred pain to groin or anterior thigh
gauvain’s sign designed to find
TB in preadolescents
positive sign for telescoping test
excess joint play and/or palpable click in the joint
positive sign for telescoping test indicates
hip dislocation or hip dysplasia
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
patrick’s test
positive sign for patrick’s test
pain in the hip or the patient is unable to perform
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
ober’s test
what is a positive ober’s test
affected thigh remains abducted and may be painful or may drop with clonus
a positive ober’s test indicates
IT band tightness
patient lies supine and actively pulls the unaffected knee to the chest while keeping the other leg straight
thomas test
a positive thomas test indicates
flexion contracture or shortening of iliopsoas on affected side
patient stands on the affected foot and raises unaffected foot off of the ground
trendelenburg’s test
a positive trendelenburg’s test
high iliac crest on supported leg and low iliac crest on the lifted leg
a positive trendelenburg’s test indicates
gluteus medius insufficiency on the supported leg
infant lies supine. doctor grasps both thighs and the level of the lesser trochanter and flexes and abducts the thighs bilaterally
ortolani’s test
positive ortolani’s test
palpable click or “clunk”
Which orthopedic test evaluates the patient for leg-length shortening caused by an abnormality above or below the trochanter level?
Actual Leg Length Test
Which orthopedic test evaluates the patient for leg-length shortening caused by a pelvic obliquity?
Apparent Leg Length
Which orthopedic test evaluates the patient for assessment for femoral and or Tibial structural deficiency?
Allis’ Sign (aka Galeazzi’s Sign)
Which orthopedic test evaluates the patient for assessment for femoral, tibial, fibular and or calcaneal fracture?
Anvil
Which side lying orthopedic test evaluates the patient for assessment for TB arthritis of the hip or adult onset osteonecrosis of the femoral head?
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Which orthopedic test evaluates the patient for untreated or undiagnosed congenital hip dislocation?
Hip Telescoping Test
Which orthopedic test evaluates the patient for iliotibial band contracture?
Ober’s Test
Which orthopedic test evaluates the patient for intracapsular coxa pathology seen in Flexion, Abduction, External rotation and extension?
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Which orthopedic test evaluates the patient for flexion contracture involving the iliopsoas?
Thomas Test
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?
Trendelenburg’s Test
Which orthopedic test evaluates the patient for slipped capital epiphysis?
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