Clinical Hip Exam

Question 1

what test would aggravate any pathologic condition in the hip?

Answer 1

passive hip internal rotation

Question 2

0-3 years hip pain diagnosis?

Answer 2

septic hip, hip dysplasia, hip fracture

Question 3

4-10 years hip pain diagnosis?

Answer 3

toxic synovitis, legg calve perthes, juvenile rheumatoid arthritis

Question 4

11-16 years hip pain diagnosis?

Answer 4

slipped capital femoral epiphysis (SCFE), avascular necrosis, GC arthritis

Question 5

17-39 years hip pain diagnosis?

Answer 5

femoral neck stress fracture

Question 6

40-80+ years hip pain diagnosis?

Answer 6

osteoarthritis of hip

Question 7

60-80+ years hip pain diagnosis?

Answer 7

hip fracture

Question 8

where is the trocanteric bursa located?

Answer 8

over the greater trochanter of the hip

Question 9

what is the cause of trocanteric pain?

Answer 9

a degenerative process of the gluteal tendons that insert on the trochanter (previously thought to be inflammatory bursitis)

Question 10

the trochantric bursa region is the source of what pain?

Answer 10

lateral hip pain

Question 11

what helps with trochantric bursa region pain?

Answer 11

stretching, strengthening, and other simple therapy techniques

Question 12

how do you determine if the patient has trochanteric pain?

Answer 12

press on the trochanteric bursa

Question 13

if the pain isnt coming from hip joint or bursa, where is it likely from?

Answer 13

muscle tendon units around the hip

Question 14

what kind of muscles are more likely to be injured?

Answer 14

muscles that span two joints vs. muscles that span one joint

Question 15

what is an avulsion?

Answer 15

the muscles pull off little pieces of bone from origin insertion points

Question 16

what population most frequently get avulsions?

Answer 16

children

Question 17

where do most hip muscle injuries occur?

Answer 17

at the myotendinous junction, within a few cm from the origin/insertion towards the muscle belly

Question 18

origin/insertion of sartorius?

Answer 18

ASIS, pes anserine

Question 19

origin/insertion rectus femoris?

Answer 19

AIIS, tibial tuberosity (via patella)

Question 20

origin/insertion biceps femoris (long head)?

Answer 20

ischial tuberosity, fibular head

short head is not double jeopardy

Question 21

origin/insertion semimembranosus?

Answer 21

ischial tuberosity, medial tibial condyle

Question 22

origin/insertion semitendinosus?

Answer 22

ischial tuberosity, pes anserine

Question 23

origin/insertion iliopsoas

Answer 23

thoraco-lumbar vertebrae, lesser tuberosity of femur

Question 24

what three things are you palpating in the supine position?

Answer 24

ASIS, AIIS, pubic ramus

Question 25

what two things are you palpating in the lateral position?

Answer 25

greater trochanter, iliotibial band

Question 26

what three things are you palpating in the prone position?

Answer 26

sacroiliac joint, ischial tuberosity, piriformis muscle

Question 27

what are the 2 special tests?

Answer 27

FABER and FADIR impingement test

Question 28

what is the FABER?

Answer 28

flexion, abduction, external rotation | stabilize with hand on hip of outstretched leg - see where pain is located (HIP or SI joint)

Question 29

what is the FADIR impingement test?

Answer 29

flexion, adduction, internal rotation | pain indicates probably pathology in hip joint proper