hip ortho Flashcards
orthos: hip osteoarthritis
- ROM: ltd hip flexion (lat hip pain); hip ext causes pain; ltd IR (<25 deg); squatting ltd & painful; Scour + add –> lateral hip or groin pain
- Scour test
- Long axis distraction
- log roll test
Femoral acetabular impingement orthos
FADIR
Acetabular Labral tear orthos
- FABER test
- Third test
- Scour test
- FADIR
- Resisted SLR
- Anterior labral test
- Posterior labral test
- Log roll test
- Long axis distraction
Snapping hip / muscle tightness asst
- SLR
- Bent knee stretch test (proximal hamstrings) 90 90
- Modified thomas
- Fair test (piriformis)
- Bicycle test
- Active iliopsoas snapping test
- 30 sec leg stance
- Ober / Modified Ober
gluteal tendinopathy orthos
- FABER test
- 30 s leg stance
- Resisted External rotation
- Ober / modified ober
- hip lag sign:leg abd & IR; +ve if drops >10cm
- FADER-R
clinical prediction rule for hip osteoarthritis
- limited active hip flexion with lateral hip pain
- active hip extension causes pain
- limited passive hip internal rotation (25 deg or less)
- sqatting limited and painful
- scour test with adduction causes lateral hip or groin pain
4/5 = +ve
tests for intra-articular lesion?
Tests for intra-articular lesion
1. FABER
2. Scour
3. Third
4. Resisted straight leg raise
what should you assess for when labral tear pathology is present?
potential impingement, capsular laxity, articular cartilage degeneration
- hip ROM
- general laxity (Beighton’s scale)
- impingement FADIR
- posterior labral tear
- log roll test
- long axis distraction
Anterior labral tear test
Patient is supine.
Affected leg flexion, ext rot & slightly abd.
Bring leg into int rotn, add & slowly extend.
+ve: symptoms repro +/- click or anterior groin pain
posterior labral tear test
Patient supine. Affected hip flex, int rot & slightly add (FADDIR).
Bring leg into ext rotn, abd and slowly extend .
+ve: patient’s symptoms repro +/- click or anterior groin pain
