Hip tests

Question 1

log roll
+?
indicates?

Answer 1

roll the patient’s leg into internal and external rotation
+ pain
indicates central or peripheral compartment pathology

Question 2

C-sign

indicates

Answer 2

pt points to source of pain with 2 fingers or cups above greater trochanter with thumb and index finger
indicates labral pathology

Question 3

labral loading
+
indicates

Answer 3

flex patient’s knee and hip to 90 degrees, load into femur towards the innominate
+ pain
indicates labral or cartilaginous pathology

Question 4

labral distraction
+
indicates

Answer 4

distract patient’s femur away from innominate
+ improvement of pain
labral or cartilaginous pathology

Question 5

scour
+
indicates

Answer 5

flex and externally rotate patient’s hip. load into socket and articulate through annular ROM
+ pain
indicates labral or articular cartilage pathology

Question 6

apprehension FABER
+
indicates

Answer 6

patietnt’s hip is flexed, abducted, and externally rotated. physician induces further external rotation by applying a posterior force at the knee.
+ anterior subluxation of hip or apprehension/pain
indicates labral pathology or impingement

Question 7

rectus femoris test
+
indicates

Answer 7

pt supine. one hip flexed up to chest. other leg bent over the edge of the table.
+ knee flexion <90
indicates rectus femoris contraction

Question 8

jump sign
+
indicates

Answer 8

pt seated. pressure applied to greater trochanter.
+ pt withdraws or jumps with pressure
indicates trochanteric bursitis

Question 9

straight leg raise test
+
indicates

Answer 9

pt supine. passively flex patient’s ipsilateral hip with knee extended.
+ pain over lateral leg, especially at >15 degrees
indicates IT band contracture
30-60 = lumbosacral radiculopathy and/or sciatic neuropathy
>70 = mechanical low back pain due to muscle strain or joint disease

Question 10

piriformis test
+
indicates

Answer 10

pt supine with hip and knee flexed, one ankle crossed over contralateral knee. pt abducts against resistance.
+ pain over posterior aspect of greater trochanter
indicates piriformis spasm or pathology

Question 11

patrick’s FABER 2/3
+
indicates

Answer 11

patient’s hip flexed, abducted, and externally rotated. physician braces contralateral ASIS, patient externally rotates/abducts against resistance.
+ pain or weakness
indicates gluteus medius pathology

Question 12

patrick’s FABER 3/3
+
indicates

Answer 12

patient’s hip flexed, abducted, and externally rotated. physician braces contralateral ASIS, patient internally rotates/adducts against resistance.
+ anterior or medial groin pain/weakness
indicates iliopsoas insufficiency or pathology

Question 13

Thomas test
+
indicates

Answer 13

pt supine and pulls knees to chest. one leg is lowered to the table to test flexibility of hip flexors.
+ inability to fully extend or extended leg raises off table
indicates hip flexor contraction