Lab: Hip & Pelvis

Question 1

Leg Length Discrepancy:

Answer 1

pos. = different measurements
ind. = true: bony abnormalities above or below the level of trochanter difference (anatomical short leg)
apparent: pelvic obliquity (tilted pelvis)

Question 2

Allis Sign:

Answer 2

pos. = difference in height and anteriority of the knees
(1) ind.= if one knee is lower= ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
(2) ind.= if one knee is anterior= ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)

Question 3

Thomas Test:

Answer 3

pos. = lumbar spine maintains lordosis (should flatten) and hip or leg flexes
ind. = contracture of the hip flexors (iliopsoas)

Question 4

Anvil Test:

Answer 4

pos. = localized pain in long bone or in hip joint

ind. = possible fracture of long bone, or hip joint pathology

Question 5

Patrick Test:

aka-> FABERE SIGN

Answer 5

pos. = pain in the hip region

ind. = hip joint pathology

Question 6

Laguerre Test:

Answer 6

(1) pos.= pain in the hip joint
(1) ind.= hip joint pathology
(2) pos.= pain in the sacroiliac joint
(2) ind.= mechanical problem of the sacroiliac joint

Question 7

Gaenslen Test:

Answer 7

pos. = pain on the affected sacroiliac joint stressed into extension
ind. = general sacroiliac joint lesion, anterior sacroiliac ligament sprain or inflammation of the sacroiliac joint

Question 8

Lewin -Gaenslen Test:

Answer 8

pos. = pain on the affected sacroiliac joint stressed into extension
ind. = general sacroiliac joint lesion, anterior sacroiliac ligament sprain or inflammation of the sacroiliac joint

Question 9

Hibb Test:

Answer 9

(1) pos.= pain in the hip region
(1) ind.= hip joint pathology
(2) pos.= pain in the buttock/pelvic region
(2) ind.=sacroiliac joint lesion

Question 10

Ober Test:

Answer 10

pos. = affected thigh remains in abduction. (normal biomechanics, the thigh/hip will adduct)
ind. =contraction of the iliotibial band or tensor fascia lata. (usually secondary to synovitis of the hip, secondary to trauma of the gluteus medius and maximus)

Question 11

Pelvic Rock Test:

aka-> ILIAC COMPRESSION TEST

Answer 11

pos. = pain in either sacroiliac

ind. = sacroiliac joint lesion

Question 12

Nachlas Test:

Answer 12

pos. = pain in the buttock and/or pain in the lumbar region

ind. = sacroiliac joint lesion, or lumbar pathology

Question 13

Yeoman Test:

Answer 13

pos. = pain deep in the sacroiliac joint

ind. = sprain of the anterior sacroiliac ligaments

Question 14

Ely Sign (Ely test-Cipriano):

Answer 14

pos. = hip on side being tested will flex causing the buttock to raise off the table
ind. = rectus femoris or hip flexor contracture

Question 15

Ely Heel to Buttock Test:

Answer 15

(1) pos.= inability to raise the thigh
(1) ind.= iliopsoas spasm
(2) pos.= pain in the anterior thigh
(2) ind.= inflammation of the lumbar nerve roots
(3) pos.= pain in the lumbar region
(3) ind.= lumbar nerve root adhesions

Question 16

Trendelenburg Test:

Answer 16

pos. = high iliac crest on supported side and low crest on side of elevated leg
ind. = weak gluteus medius muscle on the supported side