(a) Measurement of hip flexion range of motion (b) Passive movement—anterior impingement (hip quadrant: flexion, adduction and internal rotation—FADIR)

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Presentation transcript:

(a) Measurement of hip flexion range of motion (b) Passive movement—anterior impingement (hip quadrant: flexion, adduction and internal rotation—FADIR) (c) Passive movement—flexion, abduction and external rotation (FABER or Patrick’s test). Range of motion, apart from extreme stiffness/laxity, is not that relevant. Some caution needs to be exercised, as it is possible to sublux an unstable hip in this position. Pain felt in the groin is very non-specific. Pain in the buttock is more likely to be due to sacroiliac joint problems. However, pain felt over the greater trochanter suggests hip joint pathology (d) Passive movement—psoas stretch (Thomas position). Pain in the hip being stretched suggests psoas abnormality. Pain in the hip being compressed can be significant for anterior impingement of the hip joint (e) Resisted movement—squeeze test. Examiner places fist between knees as shown. Patient then adducts bilaterally against the fist (f) De-rotation test—in 90° flexion, the hip is taken into external rotation and the patient asked to return the leg to the axis of the table against resistance. The test result is positive when the usual pain is reproduced (g) Palpation of iliopsoas in muscle belly and at anterior hip joint Source: Hip pain, Brukner & Khan’s Clinical Sports Medicine: Injuries, Volume 1, 5e Citation: Brukner P, Clarsen B, Cook J, Cools A, Crossley K, Hutchinson M, McCrory P, Bahr R, Khan K. Brukner & Khan’s Clinical Sports Medicine: Injuries, Volume 1, 5e; 2017 Available at: http://csm.mhmedical.com/DownloadImage.aspx?image=/data/books/1970/bru61384_3106-a_new.png&sec=168693830&BookID=1970&ChapterSecID=168693766&imagename= Accessed: October 26, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved