Lab- Approach to Hip Complaint

Question 1

What is piriformis exacerbated by?

Answer 1

active external hip rotation

Question 2

What are the special tests for piriformis syndrome?

Answer 2

log roll and FAIR test

Question 3

a log roll test that produces posterior pain is indicative of what?

Answer 3

piriformis syndrome with TTP in sciatic notch

Question 4

a log roll test that produces anterior/groin pain is indicative of what?

Answer 4

intra-articular pathology such as SCFE, FAI, AVN, etc.

Question 5

a log roll test that produces a clicking sound is indicative of what?

Answer 5

acetabular labral tear

Question 6

How do you get a positive FAIR test?

Answer 6

if there is pain produced in the sciatic/gluteal area

Question 7

if a patient presents with pain worse when standing up straight and they are limping, what might they have?

Answer 7

psoas syndrome

Question 8

how would you test psoas syndrome?

Answer 8

Thomas test, FABER test, and log roll

Question 9

What are the findings of the specialty tests used for psoas syndrome?

Answer 9

positive thomas test, positive FABER test, negative log roll

Question 10

what does a positive Thomas test indicate?

Answer 10

hip flexor (psoas) contraction

Question 11

if a patient presents with pain on the outside of their hip and thigh, and possible buttock pain. Their pain is worse with laying on the affected side, pressing over the greater trochanter, and with activities such as getting out of the car, and going up the stairs. What might they have?

Answer 11

trochanteric bursitis

Question 12

what specialty tests are used when looking for trochanteric bursitis?

Answer 12

jump sign, ober test, log roll

Question 13

What are the findings of the specialty tests used for a trochanteric bursitis?

Answer 13

positive jump sign, positive ober, negative log roll

Question 14

how do you perform the OBER test?

Answer 14

the gluteus medius: the top hip is extended and the knee is flexed at 45-90 degrees. the physician then adducts the hip

Question 15

how do you get a positive OBER test?

Answer 15

if there is pain at the greater trochanter or if there is an inability to adduct

Question 16

how might labral tears present?

Answer 16

with locking, clicking, or a catching sensation

Question 17

How can you test for an intra-articular pathology?

Answer 17

log roll, FABER test, Scour, and labral load/distraction

Question 18

if you perform a log roll test on a patient you suspect might have an intra articular pathology, what would you be looking for?

Answer 18

pain in the anterior/groin region or clicking

Question 19

if a patient describes their pain in the hip joint itself, or localize their pain by cupping the anterolateral hip with the thumb and forefinger in the shape of a “C”, what would you suspect?

Answer 19

anterior hip or groin injury

Question 20

What does a positive FABER test in the groin suggest?

Answer 20

intraarticular disorder or iliopsoas bursitis/ strain

Question 21

what does a positive FABER test in the buttock region suggest?

Answer 21

sacroiliac joint dysfunction

Question 22

what does a positive labral loading test indicate?

Answer 22

indicates labral or cartilaginous pathology

Question 23

what does a positive scour test indicate?

Answer 23

labral or articular cartilage pathology

Question 24

what does a resisted straight leg raise indicate?

Answer 24

SCFE, femoral acetabular impingement

Question 25

what is the modified trendelenburg test?

Answer 25

patient stands with feet shoulder width apart and lifts one leg off the ground. A

Question 26

What is a positive trendelenburg sign?

Answer 26

a drop in the level/height of the iliac crest on the side of the left leg

Question 27

what does a positive trendelenburg sign indicate?

Answer 27

weakness in hip abductor muscles consisting of gluteus medius and gluteus minimus on PLANTED SIDE

Question 28

What is the normal ROM of hip flexion with the knee straight?

Answer 28

90 degrees

Question 29

What is the normal ROM of hip flexion with the knee flexed?

Answer 29

120-135 degrees

Question 30

What is the normal ROM degree of hip extension?

Answer 30

15-30 degrees

Question 31

what is the normal ROM degree of internal rotation of the hip?

Answer 31

30-40 degrees

Question 32

what is the normal ROM degree of external rotation of the hip?

Answer 32

40-60 degrees

Question 33

what is the normal ROM degree of abduction of the hip with the knee extended?

Answer 33

45-50 degrees

Question 34

what is the normal ROM degree of adduction of the hip with the knee extended?

Answer 34

20-30 degrees

Question 35

What does C sign indicate?

Answer 35

intra-articular pathology

Question 36

What might a positive OBER test indicate?

Answer 36

IT band contracture

Question 37

how do you get a positive OBER test?

Answer 37

inability to adduct