552: Exam 3: Hip Examination

Front 1

groin pain is a clasic location for

Back 1

hip arthritis or other intraarticular pathologies

Front 2

anterior thigh and medial knee pain are common with

Back 2

referred pain from hip joint or irriation of the anterior branch of the obturauro nerve due to hip pathology

Front 3

lateral hip pain is common with

Back 3

trochanteric bursitis--> usually not joint pathology

Front 4

buttock pain is typically from

Back 4

lumbar spine or SIJ dysfunction

Front 5

normal AROM hip flexion

Back 5

120

Front 6

normal AROM hip extension

Back 6

10-15

Front 7

what must you watch for when assessing AROM hip extension

Back 7

watch/stabilize lower back to prevent hyperlordosis

Front 8

normal AROM hip ABD

Back 8

30-50

Front 9

normal AROM hip ADD

Back 9

20-30

Front 10

normal AROM hip IR

Back 10

30-40

Front 11

normal AROM hip ER

Back 11

40-60

Front 12

what should all end feels at the hip feel like

Back 12

tissue stretch/approximation

Front 13

when assessing hip extension the knee extended tests more _____ while the knee flexed tetst_____

Back 13

knee extended= more hamstrings

knee flexed = more hip extensors

Front 14

Thomas test assesses

Back 14

tightness of hip flexors and rectus femoris

Front 15

during the thomas test if hip abduction occurs what does this indicate (and what's it called)

Back 15

tensor fascia lata tightness (called the J-sign)

Front 16

during the thomas test if the thigh does not become parallel to the floor what does this indicate

Back 16

hip flexor tightness (watch for compensatory lordosis

Front 17

during the thomas test if the lower leg doesnt reach a position perpendicular to the floor what does this indicate

Back 17

rectus femoris tightness

Front 18

what does Ely's test assess

Back 18

tests tightness of rectus femoris

Front 19

What does Ober's test assess

Back 19

tightness of trensor fascia lata/iliotibial band

Front 20

what is the sitting to reach hamstring test

Back 20

pt. should be able to touch toes (non-specific test combining lumbar and hamstrings

Front 21

what is the tripod sign

Back 21

with hips at 90 pt actively extends knee--> if cannot extend knee = hamstring tightness

Front 22

what is a common compensation made by the patient during the tripod sign

Back 22

extends knee and compensates with post. pelvic tilt and kyphosis

Front 23

what is normal hamstring flexibility for SLR

Back 23

70 degrees

Front 24

what is normal flexibility during the 90-90 test

Back 24

20 degrees short of full knee flexion

Front 25

what are the 4 hamstring length tests

Back 25

1) sitting toe-reach
2) tripod sign
3) SLR
4) 90-90 test

Front 26

What is another name for patricks test

Back 26

FABER or figure four

Front 27

what does patricks test assess

Back 27

anterior medial capsule for flexibility/limitation and pain
- also SIJ on side tested

Front 28

what does the quadrant or scouring test assess

Back 28

hip pathology and post. lateral capsule flexibilty

Front 29

what motions are done during the quadrant or scouring test

Back 29

flexoin, adduction, compression of hip joint

Front 30

quadrant/scouring test is a _____ test

Back 30

provocation test

Front 31

what would posterior hip pain during the scouring test indicate

Back 31

tightness of post capsule

Front 32

trendelenberg test assesses

Back 32

weakness of hip abductors

Front 33

what would be indicative of weak hip abductors during the trendelenberg

Back 33

dropping of the pelvis on the NWB side with the weakness on the WB side

Front 34

what is a compensated trendelenburg

Back 34

patient leans the trunk over WB side

Front 35

what does craigs test assess

Back 35

femoral anteversion

Front 36

what would indicate normal values for Craig's test

Back 36

8-15 degrees

Front 37

what is Nelaton's line used for

Back 37

identifying dislocated hip or coxa vara

Front 38

what is nelaton's line

Back 38

line from ischial tub to ASIS on same side- if G. trochanter is above the line (+) for dislocated hip or coxa vara

Front 39

what is Ortolani's sign

Back 39

abducting thighs with pressure on G. trochanter in infants --> assesses congenital hip dislocation in infants

Front 40

what would be indiciative of a congenital dislocation while assessing Ortolani's sign

Back 40

click being felt at about 30-49 degrees as hip is being reduced

Front 41

what are the borders of the femoral triangle

Back 41

lateral: sartorius
medial: adductor longus
and ingunal ligament

Front 42

pain on iliac crest indicates

Back 42

iliac crest contusion (hip pointer)

Front 43

pain on greater trochatner indicates

Back 43

possible trochanteric bursitis

Front 44

pain on ASIS indicates

Back 44

insertion of sartorius - rarely injured

Front 45

pain at AIIS indicates

Back 45

possible avulsion fracture--- insertion of rectus femoris

Front 46

pain on iliopsoas indicates

Back 46

too deep for palpation- possible strain, tightness

Front 47

pain under psoas indiates

Back 47

psoas bursa (too deep to palpate could be inflamed if palpable)

Front 48

what shoudl you look for while palpating the femoral triangle

Back 48

femoral artery pulse, tenderness of lymph nodes if dystal infection

Front 49

pain at PSIS and sulci indicate

Back 49

possible SIJ dysfunction