Hip and Pelvis Flashcards
(19 cards)
Bony Palpation
Anterior: ASIS, Iliac crest, iliac tubercle, and greater trochanter.
Posterior: PSIS, Ischial tuberosity, and coccyx
Soft Palpation
Femoral Triangle Borders: Sartorius, Adductor Longus, Inguinal ligament.
Quadraceps Muscles(palpate as a unit and individually): Vastus Lateralis, Vastus Medialis, Vastus Intermedius, Rectus Femoris
Greater trochanteric bursa, pes anserine, Gluteus medius, Gluteus maximus, Sciatic Nerve, Cluneal nerves.
Hamstrings: Biceps femoris, Semitendinosus, and Semimembranosus.
Range Of Motion
Flexion: 120 Extension: 30 Abduction: 45 Addcution 45 Internal Rotation: 45 External Rotation: 45 Flexion and adduction Flexion, abduction and external rotation
Leg Length Discrepancy
Patient supine, (True) examiner takes a cloth measuring tape and measures from ipsilateral ASIS to medial malleolus of the same leg. Examiner then measures from contralateral ASIS to medial malleolus of the opposite leg. (Apparent) Examiner takes a cloth tape measure and measures fromt he umbilicus to the medial malleolus of one leg and then measure from the umbilicus to the medial malleolus of the opposite leg.
POSITIVE: Different measurements
Indicates: True=bony abnormality above or below level of trochanter difference (anatomical short leg).
Apparent=pelvic obliquity(Tilted Pelvis)
Allis 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)
Thomas Test
Positive: Lumbar spine maintains lordosis (should flatten) and hip or leg flexes.
Indicates: Contracture of the hip flexors(iliopsoas)
Anvil Test
Positive: Localized pain in long bone or in hip joint
Indicates: Possible fracture of long bones, or hip joint pathology.
Patrick Test(FABERE)
Positive: Pain in the hip region
Indicates: Hip joint pathology
Laguerre Test
Positive: (1) Pain in the hip joint
Indicates: (1) Hip joint pathology
Positive: (2) Pain in the sacroiliac joint
Indicates: (2) Mechanical problem of the sacroiliac joint
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.
Lewin-Gaenslen Test
Positive: Pain on the affected SI joint stressed in extension.
Indicates: General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the SI joint.
Hibb Test
Positive(1): Pain in the hip region
Indicates(1): Hip joint pathology
Positive(2): Pain in the buttock/pelvic region.
Indicates(2): Sacroiliac joint lesion
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)
Pelvic Rock Test aka Iliac Compression Test
Positive: Pain in either sacroiliac joint
Indicates: Sacroiliac joint lesion
Nachlas Test
Positive: Pain in the buttock and/or pain in the lumbar region
Indicates: Sacroiliac joint lesion, or Lumbar pathology
Yeoman Test
Positive: Pain deep in the SI joint
Indicates: Sprain of the anterior sacroiliac ligaments
Ely Sign (Ely Test-Cipriano)
Positive: Hip on side being tested will flex causing the buttock to raise off the table.
Indicates: Rectus femoris or hip flexor contracture
Ely Heel to Buttock Test
Positive: Inability to raise the thigh. Indicates: Iliopsoas spasm Positive: Pain in the anterior thigh Indicates: Inflammation of lumbar nerve roots Positive: Pain in the lumbar region Indicates: Lumbar Nerve Root Adhesions
Trendelenburg Test
Instruct: Patient stands on foot of involved side of hip problem. Observe level, of hips.
Positive: High iliac crest on supported side and low crest on side of elevated leg.
Indicates: Weak gluteus medius muscle on the supported side.
