Orthopedic Tests (Hip And Pelvis)

Front 1

(prone—knee flex)
Hip on same side will flex—tight rectus femoris or hip flexion contracture

Back 1

Ely’s test

Front 2

Supine, pt knee to chest, affected leg off table forced downward
Pain at SI on that side—SI lesion (ant ligs)

Back 2

Gaenslen’s test

Front 3

SI lesions
Pt prone, knee flexed, push leg out (internally rotating hip)
Stresses hip joint and distracts the SI joint
Pain in SI region my indicate SI lesion or sprain of SI ligs

Back 3

Hibb’s test—

Front 4

prone, knee flex (heel to buttocks)
Radicular pain—compression/irritation at L2-L4 by intradural lesion
Pain in SI—consider SI joint lesion

Back 4

Nachlas test

Front 5

(side-lying—hip abduct—dropped)
Tests TFL and IT band for contracture
Consider if leg does not descend smoothly

Back 5

Ober’s test

Front 6

(flex/abduct thighs)
Palpable/audible click—displacement of femoral head

Back 6

Ortolani click

Front 7

Flex (force head of femur into acetabular cavity), abduct, ext rotate
Pain indicates inflammatory process in joint

Back 7

Patrick’s test (FABER)

Front 8

side-lying, pressure on ilium
Increases pressure on both SI joints
Pain at SI indicates joint lesion

Back 8

Pelvic rock test

Front 9

child supine, flex hip and knee, push towards table
Indicate dislocated or potential to dislocate

Back 9

Telescoping sign

Front 10

hip contracture (pt brings knee to chest—palpate opposite quad mm)
Significant flexion of opposite knee with tightness on palpation
No tightness on palpation with knee flexion consider anatomical origin

Back 10

Thomas’ test

Front 11

“stork test”
Patient can’t stand, or opposite hip falls or fails to raise
Assesses medial gluteal muscle on opposite side, and integrity of hip joint

Back 11

Trendelenburg test

Front 12

pt prone, knee flex, then hip extended
Ipsilateral pain—suspect ant SI joint ligs

Back 12

Yeoman’s test