Hip and Pelvis Flashcards Preview

Ortho Lab > Hip and Pelvis > Flashcards

Flashcards in Hip and Pelvis Deck (19):
1

Hip Soft Tissue Palpation

Femoral Triangle Borders
- sartorius
- adductor longus
- inguinal ligament

Quadriceps Muscles
- vastus lateralis
- vastus medius
- vastus intermedius
- rectus femoris

cluneal nerves

(*flip)

greater trochanteric bursa

gluteus medius
gluteus maximus

sciatic nerve

Hamstrings
- biceps femoris
- semitendinosus
- semimembranosus

2

Hip Bony Palpation

Anterior:
ASIS
iliac crest
iliac tubercle
greater trochanter

Posterior:
PSIS
ischial tuberosity
coccyx

3

Hip and Pelvis ROM

Flexion 120°
Extension 30°

ABduction 45°
ADduction 45°

Internal Rotation 45°
External Rotation 45°

Flexion & ADduction
Flexion, ABduction and External Rotation

4

Leg Length Discrepancy

a. ( + ) different measurements in true leg length

a. ( i ) bony abnormality above or below the level of trochanter difference (anatomical short leg)
- - - - - - - - - - - - - - - - - - -
b. ( + ) different measurement in apparent leg length

b. ( i ) pelvic obliquity (tilted pelvis)

5

Allis Sign
(Galeazzi Sign, Pediatric Test)

a. ( + ) Difference in knee height with one low knee

a. ( i ) Ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
- - - - - - - - - - - - - - - - - - -
b. ( + ) Difference in knee anteriority with an anterior knee

b. ( i ) Ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)

6

Thomas Test

( + ) Lumbar spine maintains lordosis and hip or leg flexes

( i ) Contracture of the hip flexors, iliopsoas

7

Anvil Test

( + ) Localized pain in long bone or hip joint

( i ) Possible fracture of long bones, or hip joint pathology

8

Patrick Test
(FABERE Sign)

( + ) Pain in the hip region

( i ) Hip joint pathology

9

Laguerre

a. ( + ) Pain in the hip joint

a. ( i ) Hip joint pathology
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the sacroiliac joint

b. ( i ) Mechanical problem of the sacroiliac joint

10

Gaenslen Test

( + ) Pain on the affected sacroiliac joint when stressed into extension

( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint

11

Lewin-Gaenslen Test

( + ) Pain on the affected sacroiliac joint when stressed into extension

( i ) General sacroiliac joint lesion, anterior sacroiliac ligament sprain, or inflammation of the sacroiliac joint

12

Hibb Test

a. ( + ) Pain in the hip region

a. ( i ) Hip joint pathology
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the buttock/pelvic region

b. ( i ) Sacroiliac joint lesion

13

Pelvic Rock Test
(Iliac Compression Test)

( + ) Pain in either sacroiliac joint

( i ) Sacroiliac joint lesion

14

Nachlas Test

( + ) Pain in the buttock and/or pain in the lumbar region

( i ) Sacroiliac joint lesion, or lumbar pathology

15

Yeoman Test

( + ) Pain deep in the sacroiliac joint

( i ) Sprain of the anterior sacroiliac ligaments

16

Ely Sign
(Ely Test - Cipriano)

( + ) Hip on side being tested will flex, causing the buttock to raise off the table

( i ) Rectus femoris or hip flexor contracture

17

Ely Heel to Buttock Test

a. ( + ) Inability to raise the thigh

a. ( i ) Iliopsoas spasm
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the anterior thigh

b. ( i ) Inflammation of lumbar nerve roots
- - - - - - - - - - - - - - - - - - -
b. ( + ) Pain in the lumbar region

b. ( i ) Lumbar nerve root adhesions

18

Trendelenburg Test

( + ) High iliac crest on supported side and low iliac crest on side of elevated leg

( i ) Weak gluteus muscle on the supported side

19

Ober Test

( + ) Affected thigh remains in ABduction

( i ) Contraction of the iliotibial band, secondary to synovitis of the hip. or, contraction of the tensor fascia lata, secondary to trauma of the gluteus medius and maximus.