Hip Exam Flashcards
(42 cards)
Peripheral Compartment Structures
Femoral neck
Synovial lining
Lateral Compartment Structures
Gluteus medius
Gluteus minimus
Iliotibial band
Trochanteric bursae: deep, superficial
Psoas Compartment Structures
Iliopsoas insertion
Iliopsoas bursae
Central Compartment: Signs and Symptoms
C-sign: labral pathology
Catching, locking
Pain: lumbar spine, groin/medial, pelvic rim (anterior to posterior, L5-S1) radicular pattern), in the a.m. or after a run
Instability
Central Compartment: Initial Insult
Trauma: traffic accident, collisions, bad falls
Twisting on a hip that has excess weight on it
Repetitive strain: golfers
Central Compartment: Pathology
Labral tears Ligamentum teres disruption Osteochondral defects Chondromalacia/osteoarthritis Loose bodies
Central Compartment: Maneuvers
Log Roll (pain) Labral Loading (pain) Labral distraction (relief of pain) Scour (pain) FABER (pain, apprehension)
Peripheral Compartment: Signs and Symptoms
Catching/locking
Pain with hip movement: deep hip, groin
Limited range of motion
Peripheral Compartment: Injury
Congenital
Post trauma: fall, MVA
Peripheral Compartment: Pathology
Loose bodies
Impingement syndrome: pincer type, CAM type
Synovitis
Peripheral Compartment: Maneuvers
Log Roll (pain)
Ely’s Test (ipsilateral hip flexion)
Rectus femoris test (knee flexion
Lateral Compartment: Signs and Symptoms
Weakness: difficulty with lifting leg to climb stairs
Pain: lateral hip, pelvic rim, radiating down leg to knee, knee pain
Instability
Lateral Compartment: Injury
Lifting
Trauma
Overuse
Lateral Compartment: Pathology
IT band syndrome
Bursitis
Rotator cuff tendonopathies: gluteus medius, gluteus minimus
Lateral Compartment: Maneuvers
Jump Sign (Bursitis) (withdrawal)
Straight Leg (ITB Syndrome) (lateral pain > 15 degrees)
Ober’s (ITB Syndrome (pain, inability to addict)
Piriformis Test (Rotator Cuff Pathology) (pain or weakness)
Trendelenburg (Rotator Cuff Pathology) (weakness of weight bearing side gluteus medius creates crest drop of lifted leg)
FABER (Rotator Cuff Pathology) (weakness)
Iliopsoas (Anterior) Compartment: Signs and Symptoms
Pain: anterior hip, medial groin, anterior deep thigh
Iliopsoas (Anterior) Compartment: Injury
Hyperextension: jumping, running
Overuse
Iliopsoas (Anterior) Compartment: Pathology
Psoas tendonitis
Iliopsoas bursitis
Iliopsoas (Anterior) Compartment: Maneuvers
FABER (pain anterior, medial groin) Psoas Test (pain anterior thigh) Thomas Test (inability to extend hip)
Compensatory Conditions
Snapping hip (internal or external)
- internal: psoas “snaps” over femoral head
- external: IT band “snaps” over trochanter
Somatic Dysfunction
- lumbar
- sacrum
- pelvis
- knee, foot/ankle
Compensation
- sacroiliitis
- facet syndrome
- pelvic instability
- piriformis syndrome (with sciatica)
- psoas syndrome
- hamstring syndrome
- iliotibial band syndrome
- trochanteric bursitis
Somatic Dysfunction
IT Band restriction
Hip flexion/extension dysfunction
Hip ER/IR dysfunction
Hip ab/adduction dysfunction
Observation/Palpation
ASIS Iliac crest Greater trochanter Pubic tubercles PSIS Ischial tuberosity sacroiliac joint Inguinal ligament Femoral artery Sartorius muscle Adductor longus muscle Sciatic nerve Femoral triangle: inguinal ligament, medial border of adductor longus, medial border of sartorius
Iliopsoas m.
Flexor
Sartorius m.
Flexor (abductor, external rotator)
