Special Test

Question 1

1. Pt in supine; examiner drops imaginary
   a perpendicular line from the ASIS to the examining
   table; the second line is projected up from the tip of the GT
   to meet the first line at a right angle; the line is a measure
   and are compared.
2. +
3. I

Answer 1

1. Bryant’s Triangle
2. Difference
3. Coxa Vara, Congenital Hip Dysplasia

Question 2

1. Pt lies prone with knee flexed 90°; examiner
   palpates posterior aspect of GT; passive rotate hip
   medial and laterally until GT is parallel with the
   examining table or reaches its most lateral position
2. +
3. I

Answer 2

1. Craig’s Test
2. Angle vertical line to lower leg
3. Anteversion or Retroversion

Question 3

1. Pt is in supine; examiner flexes hip 90° with
   knees flexed; examiner adducts the flexed leg.
   Normally, knee will pass over opposite hip without
   rolling pelvis
2. +
3. I

Answer 3

1. Flexion Adduction Test
2. Rolling of pelvis before the knees passes the contralateral hip
3. Hip pathology

Question 4

1. Pt lies supine; examiner flexed and adducts
   the patient’s hip so that the hip faces the Pt’s
   opposite shoulder and resistance to the movement
   is felt; maintain slight resistance, take hip into
   abduction while maintaining flexion in an arc of
   movement; examiner searches for irregularities
2. +
3. I

Answer 4

1. Hip Scour Test
2. Bumps, Pain, Apprehension
3. Hip Pathology

Question 5

1. Pt lies supine on bed with both hips flexed;
   examiner takes good hip and extends it from the
   flexed position, first with hip in lateral rotation and
   repeated with hip in medial rotation; non tested leg
   is kept in flexion; test is repeated in the affected hip
2. +
3. I

Answer 5

1. McCarthy Hip Extension Sign
2. Reproduction of Pain
3. Labral Pathology, Painful impingement. Inguinal Pain

Question 6

1. an imaginary line drawn from ischial tuberosity to
   the ASIS on the same side; perform test on both
   sides and compare
2. +
3. I

Answer 6

1. Nelaton’s Line
2. GT is palpated over the line
3. Hip Dislocation or Coxa Vara

Question 7

1. Pt lies supine; examiner places patients test
   leg so that the foot is on top of the opposite (non
   tested leg); examiner slow lowers knee of test leg
   towards the table
3. I

Answer 7

1. Patrick’s Test
2. Test leg knee remains above the opposite straight leg
3. Hip Joint Pathology, Iliopsoas Spasm, SI Joint Affectation

Question 8

1. ( p ) : patient lies supine with the
   hip flexed to 90°. The examiner then maximally
   medially
   rotates and adducts the hip, which leads to
   impingement
   of femoral neck against the acetabular rim
2. +
3. I

Answer 8

1. Anteroposterior Impingement Test
2. Pain
3. Hip Dysplasia

Question 9

1. patient lies supine with the legs hanging free
   over the edge of the bed to ensure maximal hip
   extension. The examiner then quickly rotates and
   abducts the hip laterally
2. +
3. I

Answer 9

1. Posteroinferior Impingement Test
2. Deep-seated posterior groin or buttock pain
3. Posteroinferior impingement

Question 10

1. pt in supine. The examiner places the hip into
   full FABER(starting position) then the examiner will
   extend the hip with medial rotation and adduction
3. I

Answer 10

1. Anterior Labral Tear Test
2. Production of pain with or without a click
3. Anterosuperior impingement syndrome, anterior labral tear, iliopsoas tendinitis

Question 11

1. : Pt in supine. The examiner will put the hip
   into full flexion, adduction and medial rotation
   (starting position). Examiner will move the hip into
   extension combined w/ abd and lat rotation.
2. +
3. I

Answer 11

1. Posterior Labral Tear
2. Production of groin pain, apprehension with or without a click
3. Labral tear, Anterior hip instability, posterior inferior hip impingement

Question 12

1. The patient sits with the knees bent over the
   end of the bed with feet dangling. The examiner
   places an arm under the patient’s thigh to act as a
   fulcrum, the fulcrum arm is moved from distal to
   proximal along the thigh as gentle pressure is
   applied to the dorsum of the knee.
2. +
3. I

Answer 12

1. Fulcrum Test
2. Sharp pain and apprehension when doing the test
3. Femoral Shaft Stress Fracture

Question 13

1. pt lying supine. The examiner firmly strikes
   the heel to stimulate heel strike during walking.
2. +
3. I

Answer 13

1. Heel Strike
2. Pain in the groin
3. Femoral Neck Stress Fracture

Question 14

1. : Pt supine, hips and knees flexed 90
   degrees, passive ABD both legs noting any
   asymmetry or limitation of movement
2. +
3. I

Answer 14

1. Abduction Test
2. Asymmetru and limitation of movement
3. Hip Dysplasia

Question 15

1. Test for infants up to 6 months of age.
   ( p ) : pt lies supine with legs facing PT. hips are
   flexed to 90 deg and knees fully flexed. PT
   evaluates the hip individually while the other hand
   steadies the opposite femur and pelvis. PT’s middle
   finger of both hands are placed in the greater
   trochanter, thumb placed adjacent in the inner side
   of knee and thigh opposite the lesser trochanter
   takes hip into abd while middle finger applies
   forward pressure behind the greater trochanter
2. +
3. I

Answer 15

1. Barlow’s Test
2. Femoral Head slip down into acetabulum with click, clunk, or jerk.
3. Developmental dysplasia of the hip, hip dislocation

Question 16

1. : the child lies in supine with the knees flexed
   and hips are flexed to 90 degrees.
2. +
3. I

Answer 16

1. Galeazzi
2. if one knee is higher than the other
3. congenital dysplasia oh/ developmental
   dysplasia of hip

Question 17

1. Pt in supine. Examiner flexes the hips and
   grasps the legs so that the examiner’s thumbs are
   against the insides of the knees and thighs; the
   examiner’s fingers are then placed along the
   outsides of the thighs to the buttoks. w/ gentle
   traction, the thighs are abducted and pressure is
   applied against the greater trochanter of each
   femur. Resistance to abd and lat rot is gelt at 30 to
   40 degrees.
2. +
3. I

Answer 17

1. Ortolani
2. Click, Clunk, Jerk
3. hip has reduced, increased abd is obtained,
   femoral head has slipped over the acetabular ridge
   into the acetabulum and normal abd of 70 to 90
   degrees can be obtained.

Question 18

1. pt in supine. Examiner flexes the knee and
   hip to 90 degrees. Femur is pushed down onto the
   examining table and femur and leg is then lifted up
   and away from the table
2. +
3. I

Answer 18

1. Telescoping Sign
2. A lot of relative movement of the hip
3. Dislocated Hip

Question 19

1. ( p ) : px supine; pt standing; 15 to 20 cm legs
   apart (4 to 8 inches); measure ASIS down to
   lateral malleolus
   note: 1 to 1.5 cm difference considered as
   normal
2. +
3. I

Answer 19

1. True Leg Length
2. If shorter or longer ang one leg
3. Functional leg length discrepancy

Question 20

1. px supine; pt standing; 15 to 20 cm (4 to 8
   inches) legs apart; measure umbilicus down to
   medial malleolus
2. +
3. I

Answer 20

1. Apparent LLD
2. : if true leg length is normal but the umbilicus
   to malleolus measurements are diff.
3. : functional leg length discrepancy

Question 21

1. pt is first assessed in neutral position then
   the PT palpates the ASIS and PSIS noting any
   asymmetry. Then place the patient in a
   symmetric stance, ensuring the subtalar joint is in
   neutral position, toes are facing straight ahead,
   and knees extended. Then the ASIS and PSIS is
   again checked for asymmetry
2. +
3. I

Answer 21

1. Standing (Functional Leg Length)
2. Asymmetry
3. check for structural leg length differences,
   sacroiliac joint dysfunction, or weak gluteus
   medius or quadratus lumborum muscles