ST HIP AND PELVIS

Question 1

standing on one knee
(+) pain in symphysis pubis
inc stressed by having pt hop on one leg

Answer 1

flamingo test

Question 2

1. pt lies on the side with the upper leg hyperextended
2. pt holds the lower leg flexed against the chest
   (+) ipsilateral SI jt lesion/ L4 nerve root

Answer 2

gaenslen’s test

Question 3

pt stands and asks to stand on one leg (pulling opposite knee toward chest)
examiner palpates the PSUS and sacrum
(+) SI jt moves minimally/ up= hypomobile
normal: PSIS moves down/ inferiorly
can be used for trendelenburg

Answer 3

gillet test

Question 4

pt sits on hard flat surface
examiner palpates PSIS and compares height
painful side is lower
asks pt to forward bend
(+) lower PSIS becomes higher= hypomobile

Answer 4

piedallu’s sign

Question 5

pt in prone
examiner flexes knee at 90 deg and extends hip
(+) lumbair pain= lumbar involvement
(+) anterior thigh= femoral nerve
(+) SI jt= anterior sacroiliac ligaments

Answer 5

yeoman’s test

Question 6

pt in supine with legs straight
check if medial malleoli are level
ask pt to sit up and observe whether one leg moves up farther than the other
(+) functional leg difference
(+) spasm

Answer 6

supine to sit (long sitting) test

Question 7

pt in supine with test leg on top of knee of the opposite leg
examiner slowly lowers the test leg
(+) lateral pain= superolateral and lateral FAI
(+) groin pain= iliopsoas pathology/ psoas impingement
(+) posterolateral pain= ischiotrochanteric impingement
(+) posterior pain= sacroiliac
(+) test leg remains above

Answer 7

patrick’s/ faber/ figure 4 test