MSK - Hips

Question 1

Prepare patient

Answer 1

Only underwear below waist

Question 2

Procedure of exam

Answer 2

Inspection
Palpation
Move

Question 3

3 parts to inspection

Answer 3

patient standing
gait
patient on couch

Question 4

Inspection- patient standing

Answer 4

Quadricep, hamstring, gluteal muscle bulk

Tredelenberg test

Question 5

Inspection- gait

Answer 5

Pace, symmetry
Gross abnormalities
Walking aids

Question 6

Inspection- patient lying on couch

Answer 6

erythema, skin changes
swelling over greater trochanter, bruising
scars, hair changes
attitude of limb
limb length

Question 7

True leg length

Answer 7

From ASIS to medial malleolus

Question 8

Apparent leg length

Answer 8

Xiphisternum to medial malleolus

Question 9

Palpation

Answer 9

Greater trochanter

ASIS to groin

Question 10

Movements

Answer 10

Flexion (active and passive)
Thomas’ test
Internal and external rotation
Abduction/adduction

Question 11

Movements are done on both or just one side?

Answer 11

Thomas’ test just on one side

the rest on both sides

Question 12

On movements with which leg do you start?

Answer 12

Normal

Question 13

Thomas’ test

Answer 13

Place hand under lumbar lordosis

Ask patient to pull contralateral leg up in flexion, watch for ‘injured’ leg to stay flat on bed