Omm 5 - Midterm

Front 1

Trendelengburg test

Back 1

- Demonstrates weak hip abductors such, L5 radiculopathies, superior gluteal nerve lesion
- Pt stand on one leg
- Abnormal = opposite hip drops

Front 2

Ober test

Back 2

- Demonstrates tight IT band or variety of neurological disorders such as polio and meningomyelocele
- Patient lays on side, knee flexed, hip in slight extension (allows IT band to pass behind greater trochanter)
- Support knee and ankle
- Drop knee, hip should adduct beyond anatomic neutral

Front 3

Thomas test

Back 3

- Demonstrates tight ilipsoas, kidney stones, pancreatitis
- Patient flexes both knees to flatten lordotic curve
- Should be able to fully extend each leg

Front 4

Patrick test

Back 4

- Figure 4 - hip flexed, abducted, externally rotated and extended
- Gently press knee while stabilizing ASIS
- Pain indicates hip arthritis or SI joint pathology

Front 5

Hip compression/ scour test

Back 5

Same as Patrick but force in compressive through femur to hip joint

Front 6

Hip drop test

Back 6

- Tests ability of lumbar spine to sidebend
- Contact iliac crest posteriorly
- Patient bends one knee
- Convexity should be on side of bent knee and iliac crest should drop an inch or so

Front 7

Anterior Trochanter CS

Back 7

- Sartorius
- Medial and 1-2 in. inferior to ASIS
- Supine, flex, abduct, externally rotate

Front 8

Posteromedial trochanter

Back 8

- Gemelli and quadratus femoris
- 4 cm below trochanter on posteriormedial surface of femur
- Indication - ischiogluteal bursitis
- Pt prone, leg extended, adducted, knee flexed externally rotated
- Physician stands on opposite side, grasp knee, hold leg between arm and torso

Front 9

Posterolateral trochanter

Back 9

- Posterolateral superior surface of trochanter
- Indication - trochanteric bursitis
- Pt prone, hip extended, knee extended, abducted, externally rotated, brace with knee

Front 10

Lateral trochanter

Back 10

- Lateral surface of greater trochanter, 12-13 cm distal
- Trochanteric bursitis or IT band dysfunction
- Pt prone, abducted and externally rotated

Front 11

Gluteus medius

Back 11

- 1 cm below iliac crest in an arc 3-4 cm long
- Pt prone, leg extended and internally rotated

Front 12

Piriformis

Back 12

- Belly of piriformis muscle
- Pt. prone, flexed, abducted, externally rotated
- Physician seated below table