Hip & Pelvis Flashcards
Leg length discrepancy (true + apparent)
P: Different measurements
I: True = bony abnormality above or below level of trochanter difference (anatomical short leg)
Apparent - pelvic obliquity (tilted pelvis)
true = ASIS to med. malleolus apparent = umbilicus to med. malleolus
Allis sign
P: Difference in height and anteriority of the knees
I (1): If one knee is lower - ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
I (2): If one knee is anterior = ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)
*Galeazzi sign = pediatric test used for 1 month to 2 y.o. can also be used in adults
Thomas test
P: Lumbar spine maintains lordosis (it should flatten) and the hip or leg flexes
I: Contracture of the hip flexors (iliopsoas)
Anvil test
P: Localized pain in long bone or hip joint
I: Possible fracture of long bones, or hip joint pathology
Patrick test (FABERE sign)
P: Pain in the hip region
I: Hip joint pathology
Laguerre test
(fabere in the air)
P (1): Pain in the hip joint
I (1): Hip joint pathology
P (2): Pain in the sacroiliac joint
I (2): Mechanical problem of the sacroiliac joint
Gaenslen test
P: Pain on the affected SI joint stressed into extension
I: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint
Lewin-Gaenslen test
(like Gaenslen but laying on side)
P: Pain on the affected SI joint stressed into extension
I: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint
Hibb test
P (1): Pain in the hip joint
I (1): Hip joint pathology
P (2): Pain in the buttock/pelvic region
I (2): Sacroiliac joint lesion
Ober test
P: Affected thigh remains in abduction (normal biomechanics says the thigh/hip will adduct)
I: Contraction of the iliotibial band or tensor fascia lata (usually secondary to synovitis of the hip, OR secondary to trauma of the gluteus medius and maximus)
Pelvic rock test
aka Iliac compression test
P: Pain in either sacroiliac joint
I: Sacroiliac joint lesion
Nachlas test
P: Pain in the buttock or pain in the lumbar region
I: Sacroiliac joint lesion, or a lumbar pathology
Yeoman test
P: Pain deep in the SI joint
I: Sprain of the anterior sacroiliac ligaments
Ely sign (Ely test)
P: Hip on the same being tested will flex causing the buttock to raise off the table
I: Rectus femoris or hip flexor contracture
Ely heel to buttock test
P (1): Inability to raise the thigh
I (1): Iliopsoas spasm
P (2): Pain in the anterior thigh
I (2): Inflammation of the lumbar nerve roots
P (3): Pain in the lumbar region
I (3): Lumbar nerve root adhesions
