Special Test for Hip Conditions

Question 1

What does the Hibbs test indicate and how do you perform it?

Answer 1

How to perform:
Patient prone with knee flexed 90*, examiner then stabilizes the patient’s pelvis with one hand and proceded to slowly push the patients ankle laterally – causing internal rotation of the femur

• • (+) Sacroiliac pain -> SIJ pathology
    • (+) Hip pain -> Hip Lesion

(+) Radicular pain -> piriformis entrapment of sciatic nerve

Question 2

What does the Nachlas (Knock ass) test indicate and how do you perform it?

Answer 2

How to perform
Patient prone, examiner flexes knee in attempt to touch patient’s heal to ipsilateral buttock

* (+) Local pain -> SI/lumbar/knee ligament sprain, quadriceps strain 
	* (+) Radiating pain -> femoral nerve pathology

Question 3

Whst is a tip to differentiate between Ely’s test, Hibbs test, and Nachlas Test

Answer 3