Hip and Pelvis Flashcards Preview

Ortho Lab > Hip and Pelvis > Flashcards

Flashcards in Hip and Pelvis Deck (19)
Loading flashcards...
1

Hip and Pelvis
Bony Palpation

Anterior Palpation
1) ASIS
2) Iliac Crest
3) Iliac Tubercle
4) Greater Trochanter
Posterior Palpation
1) PSIS
2) Ischial Tubercle
3) Coccyx

2

Hip and Pelvis
Soft Palpation

1) Femoral triangle borders
• Sartorius
• Adductor Longus
• Inguinal Ligament
2) Quadriceps Muscles (palpate as a unit and individually)
• Vastus Lateralis
• Vastus Medialis
• Vastus Intermedius
• Rectus Fermoris
3) Greater trochanteric bursa 8) Hamstrings
4) Gluteus medius • Biceps femoris
5) Gluteus maximus • Semitendinosus
6) Sciatic nerve • Semimembranosus
7) Cluneal Nerve

3

Hip and Pelvis
Ranges of Motion

Active and Passive

1) Flexion 120°
2) Extension 30°
3) Ab-duction 45°
4) Ad-duction 45°
5) Internal rotation 45°
6) External rotation 45°
7) Flexion and adduction “Girl Sit”
8) Flexion, Abduction and External Rotation “Boy Sit”

4

Leg Length Discrepancy

Positive:
Different measurments

Indicates:
True = bony abnormality above below level of trochanter difference (anatomical short leg)
Apparent = pelvic obliquity (Tilted pelvis)

5

Allis Sign (Galeazzi Sign) Pediatric Test for 1 month to 2 years old, can be used in adults

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)

6

Thomas Test

Positive:
Lumbar spine maitains lordosis (should flatten) and hip or leg flexes.

Indicates:
Contracture of the hip flexors (Iliopsoas)

7

Anvil Test

Positive:
Localized pain in long bone or in hip joint

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

8

Patrick Test a.k.a FABERE Sign

Positive:
Pain in the hip joint

Indicates:
Hip joint pathology

9

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

10

Gaenslen Test “One Man Sleeping"

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.

11

Lewin-Gaenslen Test
“Two men spooning”

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.

12

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

13

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)

14

Pelvic Rock Test
a.k.a
Iliac Compression Test

Positive:
Pain in either sacroiliac joint

Indicates:
Sacroiliac joint lesion

15

Nachlas Test

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

Indicates:
Sacroiliac joint lesion, or lumbar pathology

16

Yeoman Test
"Yo Man"

Positive:
Pain deep in the SI joint

Indicates:
Sprain of the anterior sacroiliac ligaments

17

Ely Sign (Ely Test)

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

Indicates:
Rectus femoris or hip flexor contracture

18

Ely Heel to Buttock Test
a.k.a
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 lumbar nerve roots
3) Lumbar nerve root adhesions

19

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.