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Orthopedic Special Tests > Hip And Pelvis > Flashcards

Flashcards in Hip And Pelvis Deck (16):
0

Leg Length Discrepancy

Positive: Different measurements

Indicate: 1) True leg length discrepancy: Bony abnormality above or below the level of trochanter difference (anatomical short leg)
2) Apparent leg length discrepancy: Pelvic 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 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

Thomas Test

Positive: Lumbar spine maintains lordosis (should flatten) and opposite hip does not straighten

Indicates: contracture of the hip flexors (iliopsoas)

3

Anvil Test

Positive: Localized pain in the long bone or hip joint

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

4

Patrick Test aka FABERE sign

Positive: Pain in the hip region

Indicates: Hip joint pathology

5

Laguerre Test

Positive: 1) Pain in the hip joint
2) Pain in the sacroiliac joint

Indicates: 1) Hip joint pathology
2) Mechanical problem of the sacroiliac joint

6

Gaenslen Test

Positive: Pain on the affected SI joint stressed into extension

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

7

Lewin-Gaenslen Test

Positive: Pain on the affected SI joint stressed into extension

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

8

Hibb Test

Positive: 1) Pain in the hip regions
2) pain in the buttock/pelvic region

Indicates: 1) Hip Joint Pathology
2) Sacroiliac Joint Lesion

9

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)

10

Pelvic Rock Test aka Iliac Compression Test

Positive: Pain in either sacroiliac joint

Indicates: Sacroiliac joint lesion

11

Nachlas test

Positive: Pain in the buttock and/or pain in the lumbar regions

Indicates: Sacroiliac joint lesion, or lumbar pathology

12

Yeoman Test

Positive: Pain deep in the SI joint

Indicates: Sprain of the anterior sacroiliac ligaments

13

Ely Sign (Ely Test)

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

Indicates: Rectus femoris or hip flexor contracture

14

Ely heel to buttock test

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

15

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