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Hip exam

Hip exam. An orthopaedic overview. HIP ASSESSMENT. HISTORY Chief Complaint: Mechanism of injury: Duration: Location: Lateral Anterior Other Radiation: Groin Buttocks Thigh Other Severity when most severe: (0 to 10) Catching:

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Hip exam

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  1. Hip exam An orthopaedic overview

  2. HIP ASSESSMENT HISTORY Chief Complaint: Mechanism of injury: Duration: Location: Lateral Anterior Other Radiation: Groin Buttocks Thigh Other Severity when most severe: (0 to 10) Catching: When does pain occur? (rest; sitting; walk; run; stairs up/down; uneven ground; in/out car; during activity; after activity; morning; afternoon; night; other): Relieving Factors: Treatment to date: Past history of knee injury or related hx: Other medical history: Medication: Allergies:

  3. PHYSICAL EXAMINATION “LOOK, FEEL, MOVE”

  4. LOOK Standing: Alignment rotation of femur, iliac crest height Walking: Antalgicfavours: Right or Left Trendelenburg PWB NWB AIDS: crutches/cane/wheelchair

  5. LOOK Lying: Swelling Muscle wasting Flexion deformity Position Leg length discrepancy

  6. FEEL Palpate points of maximal tenderness: Bones: ASIS, Greater trochanter and bursa, Pubic symphysis, Ischialtuberosity (bursa and hamstring attachment), SI joints Muscles & Tendons: Adductors, IT band (TFL), gluteus minimus/maximus, piriformis, Hamstring

  7. MOVE Hip Range of Motion: Active Passive Resisted Flexion: (~120°) Extension: (~20-30°) Abduction: (~45-50°) Adduction: (~20°) Internal rotation: (~35°) External rotation: (~45°)

  8. Special Tests Drehmann Sign FAI testing: Rt: pos/neg Lt: pos/neg Trendelenburg test Rt: pos/neg Lt: pos/neg Thomas test (flexion contracture/ITB tightness): Rt: pos/neg Lt: pos/neg Ober test FABER: Neg Pain: hip back Functional tests: Hop

  9. Drehmann Sign External rotation on hip flexion = OA

  10. FAI Impingement

  11. Trendelenburg test

  12. Thomas Test

  13. Ober test

  14. FABER:FlexionAbductExternalRotation

  15. MOVE Back ROM: Flexion Extension Lateral flexion Rotation Sacro-iliac Kinetic Test Leg Lengths: Rt_____cm. Lt_____cm.

  16. Let’s practice

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