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Ortho tests > Hip > Flashcards

Hip Flashcards

1
Q

What does Quadrant test for

A

Hip Jt pathology, OA, capsulitis, labral tear, acetabular impingement

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2
Q

Quadrant technique

A

Pt supine
Flex hip to 90 deg + flex knee
Rotate leg round in quadrant shape
Apply pressure 2nd time if no pain from first one

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3
Q

+ve Quadrant

A

Local P or crepitus

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4
Q

Specificity of Quadrant

A

43

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5
Q

Sensitivity of Quadrant

A

75-91

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6
Q

Quadrant clinical notes

A

Approximates acetabulofemoral Jt structures causing irritation in presence of hip patho

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7
Q

What does Fabers test for

A

Hip Jt pathology, OA, capsulitis, sparin/strain, tight hip adductors

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8
Q

Faber techniques

A

Flexion, abduction, ext rot of leg
Rest foot on couch to start, then on shin (pillow)
Apply pressure to knee and stabilise opposite hip

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9
Q

+ve Fabers

A

Test leg remaining above opposite straight leg

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10
Q

-ve Fabers

A

Indicated by flexed leg falling flat on couch

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11
Q

Specificity of Fabers

A

50%

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12
Q

Sensitivity of Fabers

A

30%

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13
Q

What does Fadir test

A

Ant-sup impingement syndrome, ant labral tear, iliopsoas tendinitis

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14
Q

Fadir technique

A

Flex, add, int rot
Apply pressure through knee

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15
Q

+ve Fadir

A

P + reproduction of Pt symptoms without a click or apprehension

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16
Q

Specificity for Fadir

A

80%

17
Q

Sensitivity of Fadir

A

80%

18
Q

What does post labral test test for

A

Labral tear, ant hip instability, post-inf impingement

19
Q

Post labral test technique

A

Pt supine
Hip into full flex, adduction, int rot as starting position
Extend hip combined with adduction + ext rot

20
Q

+ve Post laboral test

A

Groin P
Pt apprehension
Reproduction of symptoms

21
Q

What does Trendelenburg’s test for

A

Ability of hip abductors to stabilise pelvis on femur

22
Q

Trendelenburgs sign technique

A

Pt to stand on one leg
Normally pelvis on opposite side should rise

23
Q

+ve Trendelenburgs sign

A

Dropping of pelvis on opposite side- indicates weak gluteus medias or unstable hip

24
Q

-ve Trendelenburgs sign

A

-ve rising of pelvis on opposite side to raised leg

25
Q

What does Obers test for

A

Test TFL contracture or P at hip possible trochanteric bursitis

26
Q

Obers technqiue

A

Pt sidelying
Flex bottom leg
Drop to leg off couch (affected side

27
Q

+ve Obers

A

If Pt leg does not drop off couch

28
Q

Hamstring contracture test

A

As in usual hamstring stretch
Repeat bilaterally

29
Q

Hamstring interpretation

A

Inability to touch toes- tight hamstring muscle group (contracture)

30
Q

Hamstring itnerpretation

A

Some have genetic predisposition causing poor outcome of test

Hamstring contracture commonly associated with LBP

31
Q

Hip telescoping test

A

Pt supine
Hip flexed to 90
First downward pressure
Then distract (hand under knee, other hand on top of knee)

32
Q

Hip telescoping test interpretation

A

Excessive motion, P or apprehension- dislocation, instability, lig damage

33
Q

Labral tear test

A

Pt supine
1. applies PA force over distal thigh and asks Pt to flex hip
- rec fem originates in ant acetabulum, if ant labrum is torn the pull from contraction may cause P
2. Pt in gaenslen position, examiner pushes hanging leg into extension (comp of post labrum- P)
3. Pts knee bent, examiner flexes Pt hip into full flexion and IR

34
Q

Labral tear spec and sens

A

8-25
94-98

35
Q

Labral tear interpretation

A

P or apprehension- acetabular labral tear, Jt capsule impingment

36
Q

Rectus femoris contracture test

A

Supine
Leg off table, other knee held by chest
Leg off- knee bent to 90 (inc validity)
Observes for straight hip extension

37
Q

Rec fem contracture interpretation

A

Extension of knee- rec fem contracture

Ortho tests (15 decks)

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