Hip Special Tests Flashcards Preview

PHTH 7232 Ortho > Hip Special Tests > Flashcards

Flashcards in Hip Special Tests Deck (38):
1

Quadrant (Scour) Test: Everything

  • Indications: Pain in inner/outer quadrants of joint surface
  • Perform: Pt supine. Apply pressure/compression into table  & circumduct (like compression-rotation test in shoulder)
  • Response: + if a restriction if felt ain the arc of motion &/or Pain is reproduced
  • Implications: Capsular tightness, adhesion, myofacial restriction, or loss of joint congruity

 

1

Flexion-Add-IR Test: how to perform

 

Pt supine

Static test

  • passive flexion & IR (end range)

2

Fulcrum Test: Everything

 

Indications: Possible femoral stress fracture

Perform: pt in dependent position. Start at distal end of femur and work proximally. Put one wrist under femur with thumb up. push toward table with other hand distal to fulcrum hand.

Response: + if reproduction of sharp pain

Implications: femoral shaft stress fractures

3

Anterior Labral Tear (FADDIR) Test: Everything

 

Implications: Pain &/or clicking over hip

Perform: pt supine. dynamic. start in figure 4 position. Push into flexion, adduction & IR before returning leg to table.

Response: + if reproduction of s/s, Pain, &/or click

Implicationis: Anterior Labral tear &/or anterior-superior FAI

4

Other name for Quadrant Test

 

Scour Test

5

Ober Test: Response

 

+ if involved knee does not cross midline

6

Other name for Piriformis Test

 

FAIR Test

7

Five Other Hip Tests

 

  1. Patrck's (FABER) Test
  2. Fulcrum Test
  3. Piriformis (FAIR) Test
  4. Craig Test
  5. Quadrant (Scour) Test

8

Cute Chickies!

9

Piriformis (FAIR) Test: Everything

 

Implications: Possible piriformis syndrome or sciatic entrapment under piriformis

Perform: pt contralateral sidelying. Stand anterior to pt. Stablize hip. straighten tabled leg. bend top leg to 60°, hook toe under other leg. Aply pressure (IR) to knee towards floor.

Response: + if reproduction of P or s/s over intersection of priformis & sciatic nerve.

Implications: Tight and/or irritated piriformis that may be contribution to sciatic symptoms

10

Which tests have a + response of reproduction of s/s, pain, &/or click? (4)

 

The Hip Labral Tear Tests

  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test
  4. Posterior Labral Tear Test

12

90/90 SLR Test: Everything

 

Implications: Pain over hip &/or SIJ (tests hamstring flexibility)

Perform: pt supine. Move hip to 90° flexion (pt may hold it here with hands). Passively estend knee as far as it will go and measure degrees of knee extension.

Response: + if knee doesn't fully extend (described as > 0°). Meausre ROM and record to track progress over time.

Implications: Impaired flexibility of the hamstrings

12

Other name for FAIR test

 

Piriformis Test

14

Flexion-Add-IR Test: Everything

 

Indications: Pain &/or clicking over hip joint

Perform: pt supine. Static. Apply Flexion & IR overpressure

Response: + if reproduction of s/s, Pain, &/or click

Implications: Anterior laberal tear &/or FAI

15

Thomas Test: Everything

 

Purpose: assess anterior labrum or flexibility in hip

Indications: Pain over hip &/or SI (flex), or Pain &/or lcicking over hip.

Perform: pt in dependant position with knees off table several inches. Have pt fully flex hip and hold knee to chest. Assist pt with lying back on table.

Response: + rectus femoris, thigh on table but knee flexion < 80°; + Iliopsoas, knee flexion > 80° but thigh off table; + both if thigh off table and knee flexion is < 80°. + anterior labrum if reproduce s/s with or without click (may apply overpressure on tabled femur).

Implications: impaired flexibility of iliopsoas &/or rectus femoris. OR Anterior labral tear &/or ant-superior FAI.

16

Posterior Labral Tear Test: everything

 

Indications: Pain &/or clicking in hip

Perform: pt supine. Dynamic. Start in flexion, IR, & adduction. Move through Flexion, ER & Abduction before returning leg to table.

Respones: + if reproduction of s/s, Pain, with/without click

Implications: Posterior Labral tear &/or posterior-inferior FAI

17

Other name for Scour Test

 

Quadrant test

18

Ely's Test: Everything

 

Indications: Pain over hip &/or SIJ (tests rectus femoris flexibilty)

Perform: pt prone. passively flex knee

Response: + if knee flexion is < 90°

Implications: impaired flexibility of Rectus Femoris

19

Modified Ober Test: Everything

 

(Like Ober Test but with knee extended)

Implications: pain over hip &/or SIJ

Perform: pt in contralateral sidelying. Stand behind pt, lift leg up & over (abduct/adduct while extending hip to end range). Stabilize pelvis on iliac crest. Allow leg to drop (be sure pelvis doesn't move!). Note how far knee drops.

Response: + if knee does not cross midline

Implications: impaired flexibility of ITB (& TFL?)

19

Flexion-Add-IR Test: Implications

 

Anteriror Labral Tear &/or FAI

21

Ely's Test: how to perform

 

pt prone

Passively flex knee to end range

22

Other name for FADDIR Test

 

Anterior Labral Tear Test

23

What tests ore indicated by pain &/or clicking over the hip joint? (4)

  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test
  4. Posterior Labral Tear Test

24

Flexion-Add-IR Test: Response

 

+ if reproduction of pain &/or click

25

Other name for FABER test

 

Patrick's test

26

Another name for the Anterior Labral Tear Test

FADDIR test

27

Craig Test: Everything

 

Indications: To assess degrees of femoral anteversion or retroversion

Perform: pt prone. Flex knee to 90°. Palpate posterior greater trochanter. Passively IR/ER hip until G. Trhoch is parallele with table (when G. Troch is most lateral), then measure IR or ER at that position with gonio.

Response: An > 8-15° in direction of IR, is considered to be anteversion (

Implications: Determines angle of femoral anteversion

28

Anterior Labral Tear (FADDIR) Test: How to perform

 

pt supine

Dynamic test

  • Start in figure 4 position
  • Push hip into Flexion,  Adduction and IR before returning it to the table

29

90/90 SLR: How to perform

 

pt supine

Passively move hip to 90° flexion (pt may hold it there with hands). Passively extend knee. Note how far it can extend.

Response: > 0° flexion implicates reduced hamstring flexibility

30

90/90 SLR: Response

 

Response: If knee remains > 0°

31

Flexion-Add-IR Test: indications

 

Pain &/or clicking over hip joint

32

Five Hip Flexibility Tests

 

  1. Ober's Test
  2. Modified Ober's Test
  3. Thomas Test
  4. 90/90 SLR
  5. Ely's Test

 

33

Modified Ober Test: Indications

 

Pain over hip &/or SIJ

(tests for ITB tightness - and maybe TFL tightness)

Indicated with hip/knee pathology

34

What are the advantages and disadvantages of the Ober test vs the Modified Ober Test?

 

The Modified Ober Test puts more tension on ITB because it is in a more lengthened position.

but

It also creates more levarage to rotate pelvis (due to the longer moment arm), so this makes it harder to stabilize the pelvis (which could confound results if the pelvis accidently moves).

35

Other name for Patrick's Test

 

FABER Test

36

Three tests that implicate Anterior labral tear and/or ant-sup FAI

 

  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test

37

Four Labral Tear Tests

 

  1. Flexion-Add-IR Test
  2. Anterior Labral Tear (FADDIR) Test
  3. Thomas Test
  4. Posterior Labral Tear Test

38

Patrick's (FABER) Test: Everything

 

Indications: Need to differentiate between lumbar, hip, SI pathology (cannot tell what is wrong, just where)

Perform: pt supine. put in figure 4, stablize contralateral ASIS, press knee toward table. If hurts ask where.

Response: + if reproduction of s/s, pain &/or loss of motion compared to opposite side

Implications: Pain in groin suggest hip pathology; Paoin in gluteal region suggests SIJ pathology; P in lateral hip suggests hip capsule pathology.