Hip evaluation

Question 1

Iliac crest

Answer 1

widest part of the hips (pelvis)- top portion of the hips

Question 2

anterior superior iliac spine ASIS

Answer 2

move anterior from the iliac crest, the 2 bony projections in the front

Question 3

sartorius

Answer 3

move immediately inferior to ASIS, when you do flexion of the hip, you will feel the rectus femoris

Question 4

inguinal ligament

Answer 4

-important palpation because we can see hernias here (males more than females)
-if they have pain from ASIS to the middle of the belt buckle (pubic symphysis)- can have them cough and feel the hernia there if not already visible
-runs from ASIS to pubic tubercles or pubic symphysis

Question 5

pubis symphysis and tubercles

Answer 5

-between right and left pubic bones, the symphysis connects them
-coming off the bone is the tubercles
-do they have a hernia
-do they have a fracture at the pubic tubercles- lots of running with bad footwear

Question 6

adductor longus

Answer 6

-have patient on the table, supine or seated, whatever leg you are palpating you put into figure 4 position, resist adduction the most prominent thigh muscle on the medial side

Question 7

ischial tuberosity

Answer 7

-where the hamstrings originate (the hamstring can pull off the attachment sight and enough of a strain can pull part of the bone off, results in avulsion fracture)
-have them lay on their side and have top leg bent, feel for bony prominence in the gluteal region

Question 8

greater trochanter

Answer 8

-from the iliac crest, move inferior and slightly posterior and have patient internally and externally rotate, you will feel the bone moving

Question 9

gluteus maximus

Answer 9

have patient prone, slight knee flexion, and then resist hip extension, the muscle will become prominent

Question 10

femoral triangle

Answer 10

-not really palpable
-borders: inguinal ligament (superior border), adductor longus (medial border), sartorius (lateral border)
-running in between these is the femoral artery