Hip

Question 1

What does Quadrant test for

Answer 1

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

Question 2

Quadrant technique

Answer 2

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

Question 3

+ve Quadrant

Answer 3

Local P or crepitus

Question 4

Specificity of Quadrant

Answer 4

43

Question 5

Sensitivity of Quadrant

Answer 5

75-91

Question 6

Quadrant clinical notes

Answer 6

Approximates acetabulofemoral Jt structures causing irritation in presence of hip patho

Question 7

What does Fabers test for

Answer 7

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

Question 8

Faber techniques

Answer 8

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

Question 9

+ve Fabers

Answer 9

Test leg remaining above opposite straight leg

Question 10

-ve Fabers

Answer 10

Indicated by flexed leg falling flat on couch

Question 11

Specificity of Fabers

Answer 11

50%

Question 12

Sensitivity of Fabers

Answer 12

30%

Question 13

What does Fadir test

Answer 13

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

Question 14

Fadir technique

Answer 14

Flex, add, int rot
Apply pressure through knee

Question 15

+ve Fadir

Answer 15

P + reproduction of Pt symptoms without a click or apprehension

Question 16

Specificity for Fadir

Answer 16

80%

Question 17

Sensitivity of Fadir

Answer 17

80%

Question 18

What does post labral test test for

Answer 18

Labral tear, ant hip instability, post-inf impingement

Question 19

Post labral test technique

Answer 19

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

Question 20

+ve Post laboral test

Answer 20

Groin P
Pt apprehension
Reproduction of symptoms

Question 21

What does Trendelenburg’s test for

Answer 21

Ability of hip abductors to stabilise pelvis on femur

Question 22

Trendelenburgs sign technique

Answer 22

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

Question 23

+ve Trendelenburgs sign

Answer 23

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

Question 24

-ve Trendelenburgs sign

Answer 24

-ve rising of pelvis on opposite side to raised leg

Question 25

What does Obers test for

Answer 25

Test TFL contracture or P at hip possible trochanteric bursitis

Question 26

Obers technqiue

Answer 26

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

Question 27

+ve Obers

Answer 27

If Pt leg does not drop off couch

Question 28

Hamstring contracture test

Answer 28

As in usual hamstring stretch Repeat bilaterally

Question 29

Hamstring interpretation

Answer 29

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

Question 30

Hamstring itnerpretation

Answer 30

Some have genetic predisposition causing poor outcome of test Hamstring contracture commonly associated with LBP

Question 31

Hip telescoping test

Answer 31

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

Question 32

Hip telescoping test interpretation

Answer 32

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

Question 33

Labral tear test

Answer 33

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

Question 34

Labral tear spec and sens

Answer 34

8-25 94-98

Question 35

Labral tear interpretation

Answer 35

P or apprehension- acetabular labral tear, Jt capsule impingment

Question 36

Rectus femoris contracture test

Answer 36

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

Question 37

Rec fem contracture interpretation

Answer 37

Extension of knee- rec fem contracture