Hip Special Tests Flashcards Preview

PHTH 7232 Ortho > Hip Special Tests > Flashcards

Flashcards in Hip Special Tests Deck (38):

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



Flexion-Add-IR Test: how to perform


Pt supine

Static test

  • passive flexion & IR (end range)


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


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


Other name for Quadrant Test


Scour Test


Ober Test: Response


+ if involved knee does not cross midline


Other name for Piriformis Test




Five Other Hip Tests


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


Cute Chickies!


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


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


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


Other name for FAIR test


Piriformis Test


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


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.


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


Other name for Scour Test


Quadrant test


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


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?)


Flexion-Add-IR Test: Implications


Anteriror Labral Tear &/or FAI


Ely's Test: how to perform


pt prone

Passively flex knee to end range


Other name for FADDIR Test


Anterior Labral Tear Test


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


Flexion-Add-IR Test: Response


+ if reproduction of pain &/or click


Other name for FABER test


Patrick's test


Another name for the Anterior Labral Tear Test



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


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


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


90/90 SLR: Response


Response: If knee remains > 0°


Flexion-Add-IR Test: indications


Pain &/or clicking over hip joint


Five Hip Flexibility Tests


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



Modified Ober Test: Indications


Pain over hip &/or SIJ

(tests for ITB tightness - and maybe TFL tightness)

Indicated with hip/knee pathology


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.


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).


Other name for Patrick's Test




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


Four Labral Tear Tests


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


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.