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Ortho Dx > Hip & Pelvis > Flashcards

Flashcards in Hip & Pelvis Deck (18):
0

Leg length discrepancy

Positive: different measurements

Indicates: true = abnormality above or below level of trochanter difference [anatomical short leg] apparent = obliquity (Tilted pelvis)

1

Allis Sign (Galeazzi Sign)

Positive: difference in height and anteriority of the knees.

Indicates: 1. If one knee is lower = ipsilateral congenital hip does dislocation or tibial discrepancy [anatomical short leg]

#2. If one knee is anterior = ipsilateral congenital hip dislocation or femoral discrepancy [contralateral anatomical short leg]

2

Anvil Test

Positive: localized pain in the long bone or in hip joint.

Indicates: possible fracture of long bones, or hip joint pathology

3

Patrick test a.k.a. Fabere sign

Positive: pain in the hip region

Indicates: hip joint pathology

4

Laguerre Test

Positive:
1. pain in the hip joint.
2.pain in the sacroiliac joint

Indicates:
1.hip joint pathology
2. Mechanical problems of the sacroiliac joint

5

Gaenslen Test

Positive: pain on the affected SI joint stressed into extension.

Indicates: General sacroiliac joint lesion, anterior sacral iliac ligament sprain, or inflammation of the SI joint

6

Lewin-Gaenslen Test

Positive: pain on the affected SI joint stress into extension

Indicates: Gen. sacroiliac joint lesion, anterior sacral iliac ligament sprain, or inflammation of the SI joint

7

Hibb Test

Positive:
1. Pain in the hip region
2. Pain in the buttock/pelvic region

Indicates:
1. Hip joint pathology
2. Sacroiliac joint lesion

8

Ober Test

Positive: affected thigh remains in abduction. [Normal biomechanics, the thigh/hip will adduct].

Indicates: contraction of the iliotibial band or Tensor Fascia Lata, [usually secondary to synovitis of the hip, secondary to trauma of the gluteus medius and Maximus]

9

Pelvic rock test a.k.a. iliac compression test

Positive: pain in either sacroiliac joint

Indicates: sacroiliac joint lesion

10

Nachlas Test

Positive: pain in the buttock and or pain in the lumbar region

Indicates: sacroiliac joint lesion or lumbar pathology

11

Yeoman Test

Positive: pain deep in the SI joint

Indicates: sprain of the anterior sacroiliac ligaments

12

Ely Sign

Positive: hip on side being tested will flex causing the buttock to raise off the table

Indicates: rectus Femoris or hip flexor contracture

13

Ely Heel to Buttock Test aka Ely Sign

Positive:
1. Inability to raise the thigh
2. Pain in the anterior thigh
3. Pain in the lumbar region

Indicates:
1. Iliopsoas spasm
2. Inflammation of the lumbar nerve roots
3. Lumbar nerve root adhesions

14

Trendelenburg Test

Positive: high iliac crest on supported side and low crest on side of elevated leg

Indicates: weak gluteus medius muscle on the supported side

15

ROM

Flexion 120°
extension 30°
abduction 45°
abduction 45°
internal rotation 45°
external rotation 45°

16

Bony palpation

Anterior: ASIS, iliac crest, iliac tubercle, greater trochanter

Posterior: PSIS, ischeal tuberosity,coccyx

17

Soft tissue palpation

Femoral triangle borders: sartorius, abductor longest, inguinal ligament.
Quadriceps muscles: Vastus lateralis, Vastus medialis, Vastus intermedius, rectus Femoris
Greater trochanteric bursa, gluteus medias, gluteus maximus, sciatic nerve, cluneal nerves
Hamstrings: biceps femoris, semi tendinosis, semimembranosus