Orthopedic Diagnosis: Hip & Pelvis Flashcards
1
Q
Leg Length Discrepancy
A
- Positive: Different measurements
- Indicates: True - Bony abnormality above or below the level of trochanter difference (anatomical short leg)
- Indicates: Apparent - Pelvic obliquity (tilted pelvis)
2
Q
Allis Sign
A
- Positive: Difference in height, if one knee is lower
- Indicates: Ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
- Positive: Difference in anteriority, if one knee is anterior
- Indicates: Ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)
3
Q
Galeazzi Sign
A
- Positive: Difference in height, if one knee is lower
- Indicates: Ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
- Positive: Difference in anteriority, if one knee is anterior
- Indicates: Ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)
4
Q
Thomas Test
A
- Positive: Lumbar spine maintains lordosis (should flatten) and hip or leg flexes
- Indicates: Contracture of the hip flexors (iliopsoas)
5
Q
Anvil Test
A
- Positive: Localized pain in long bone or in hip joint
- Indicates: Possible fracture of long bones, or hip joint pathology
6
Q
Patrick Test
A
- Positive: Pain in the hip region
- Indicates: Hip joint pathology
7
Q
FABERE Sign
A
- Positive: Pain in the hip region
- Indicates: Hip joint pathology
8
Q
Laguerre Test
A
- Positive: Pain in the hip joint
- Indicates: Hip joint pathology
- Positive: Pain in the sacroiliac joint
- Indicates: Mechanical problem of the sacroiliac joint
9
Q
Gaenslen Test
A
- Positive: Pain on the affected sacroiliac joint stressed into extension
- Indicates: General sacroiliac joint lesion, anterior sacroiliac ligament sprain or inflammation of the sacroiliac joint
10
Q
Lewin-Gaenslen Test
A
- Positive: Pain on the affected sacroiliac joint stressed into extension
- Indicates: General sacroiliac joint lesion, anterior sacroiliac ligament sprain or inflammation of the sacroiliac joint
11
Q
Hibb Test
A
- Positive: Pain in the hip region
- Indicates: Hip joint pathology
- Positive: Pain in the buttock/pelvic region
- Indicates: Sacroiliac joint lesion
12
Q
Ober Test
A
- Positive: Affected thigh remains in abduction (normal biomechanics, the thigh/hip will adduct)
- Indicates: 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)
13
Q
Pelvic Rock Test
A
- Positive: Pain in either sacroiliac joint
- Indicates: Sacroiliac joint lesion
14
Q
Iliac Compression Test
A
- Positive: Pain in either sacroiliac joint
- Indicates: Sacroiliac joint lesion
15
Q
Nachlas Test
A
- Positive: Pain in the buttock and/or pain in the lumbar region
- Indicates: Sacroiliac joint lesion or lumbar pathology
16
Q
Yeoman Test
A
- Positive: Pain deep in the sacroiliac joint
- Indicates: Sprain of the anterior sacroiliac ligaments
17
Q
Ely Sign
A
- Positive: Hip on side being tested will flex causing the buttock to raise off the table
- Indicates: Rectus femoris or hip flexor contracture
18
Q
Ely Test
A
- Positive: Hip will flex causing the buttock to raise off the table
- Indicates: Rectus femoris or hip flexor contracture
19
Q
Ely Heel to Buttock Test
A
- Positive: Inability to raise the thigh
- Indicates: Iliopsoas spasm
- Positive: Pain in the anterior thigh
- Indicates: Inflammation of the lumbar nerve roots
- Positive: Pain in the lumbar region
- Indicates: Lumbar nerve root adhesions
20
Q
Trendelenburg Test
A
- Positive: High iliac crest on supported side and low crest on same side of elevated leg
- Indicates: Weak gluteus medius muscle on the supported side
