MSK Special Tests: HIP

Question 1

Patrick’s

Answer 1

FABER

ID dysfunction

Question 2

Grind

Answer 2

Scouring
ID DJD of hip
-Supine, hip flexion 90deg, knee flexion, compressive force through knee into hip

Question 3

Trendelenburg

Answer 3

ID glute med weakness or hip instability
-SLS
(+) ipsilateral hip drop w/ SLS

Question 4

Thomas

Answer 4

Hip flexor tightness
-Supine, hip and knee max flexion to chest, opp leg straight
(+) hip flexion on straight leg or cant stay flat on table

Question 5

Ober

Answer 5

TFL/ITB tightness
Sidelying, passively extend/abduct hip with knee flexed 90deg, slowly lower
(+) unable to go below parallel

Question 6

Ely’s

Answer 6

Rec fem tightness

prone bring heel to butt, hip pops up (+)

Question 7

90-90 HS test

Answer 7

HS tightness
Pt supine, hip and knee 90/90, passively extend knee
(+) lacks 10 deg extension

Question 8

Piriformis test

Answer 8

Piriformis syndrome
-Pt supine, foot of test leg passively placed lateral to opposite limb’s knee, test hip addicted
-Observe test knee relative to opposite knee
(+) if test knee unable to pass over resting knee, pain in butt

Question 9

Leg length test

Answer 9

ID true leg length discrepancy

-pt supine, pelvis aligned, measure distance ASIS to med or lateral malleolus

Question 10

Craig’s

Answer 10

ID abnormal femoral antetorsion angle

• Prone, knee flexed 90deg, palpate greater torch move hip ER/IR
• where greater torch feels most lateral, stop and measure angle of leg relative to line perpendicular to table
• Normal = 8-15 hip IR
• Retroversion = <8 deg
• Anteversion = >15 deg

Question 11

FADDIR/FADIR

Answer 11

Flexion, adduction, IR: IDs anterior-superior impingement, iliopsoas tendonopathy, anterior labral tear
- supine, flexion/abd/ER —> adduction/IR

Question 12

Tripod sign

Answer 12

Sitting, knees 90 off end of table —> passive knee extension

(+) tightness in HS or / of trunk to limit HS tightness effect