Hip

Question 1

What are the ROM of the hips?

Answer 1

Flexion
Extension
ABduction
ADduction
Internal rotation
External rotation

Question 2

What is a hip scouring/quadrant test?

Answer 2

Pt lying supine. Hip fully flexed. Apply pressure to the knee avoiding putting too much pressure on the patella. ADduct, keep force and move to external rotation.
This can be done in round the clock bouncing. Depending on if there is pain and where it is, could be indicative of where there might be a problem.

Question 3

How do you perform a long axis distraction of the hip?

Answer 3

Pt in Supine. Lift leg 30 degrees, abduct 30 degrees and externally rotate. Hold just above the malleolus with thenar and hypothenar. Be in a squat stance and pull backward with straight arm.

Question 4

How do you do a short axis distraction?

Answer 4

Pt in Supine. Lift leg 30 degrees, abduct 30 degrees and externally rotate. Hold just above the knee, knee bent and pt’s foot off the bed. Be in a squat stance and pull backward with straight arm.

Question 5

How do you perform a hip compression?

Answer 5

Pt is supine. Knee is bent but not fully flexed, and pressure pushed through the knee.

Question 6

What is another way of performing a short axis distraction? (wraparound)

Answer 6

Pt in Supine. Lift leg 30 degrees, abduct 30 degrees and externally rotate. Wrap one arm under the knee and one arm over, and hold both of your elbows. Be in a squat stance and pull backward with straight arm.

Question 7

What does FABER stand for?

Answer 7

Flexion, ABduction and External rotation

Question 8

If a patient gets pain from a positive FABER test in the posterior element of the hip, what could this indicate?

Answer 8

SI joint pathology

Question 9

If a patient gets pain from a positive FABER test in the anterior element of the hip, what could this indicate?

Answer 9

Hip capsule, labral tear

Question 10

How do you perform a FABER test?

Answer 10

Pt is supine. Flexion of the hip, abduction and Externally rotate. Ankle just above the patients contralateral knee. Stabilise pt’s contralateral hip to stop hip tilt and pressure on pt’s knee that is bent. Looking for both knees to be level. If knee stays up with passive application, that is a positive result

Question 11

How do you perform a sacral thrust test?

Answer 11

pt is prone. Stand on the side of the pt’s pain. Using one hand place on base on S2 with fingers facing cranially. Use the other hand to place on top (similar to cpr). 3-6 High velocity thrusts with gradually increasing pressure. If this reproduces pt’s familiar pain this is a positive test