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Published byCamilla Haynes Modified over 9 years ago
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An orthopaedic overview
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HIP ASSESSMENT HISTORY Chief Complaint: Mechanism of injury: Duration: Location:LateralAnteriorOther Radiation:GroinButtocks 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:
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PHYSICAL EXAMINATION “LOOK, FEEL, MOVE”
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LOOK Standing: Alignment rotation of femur, iliac crest height Walking: Antalgic favours: Right or Left Trendelenburg PWBNWB AIDS: crutches/cane/wheelchair
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LOOK Lying:Swelling Muscle wasting Flexion deformity Position Leg length discrepancy
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FEEL Palpate points of maximal tenderness: Bones: ASIS, Greater trochanter and bursa, Pubic symphysis, Ischial tuberosity (bursa and hamstring attachment), SI joints Muscles & Tendons: Adductors, IT band (TFL), gluteus minimus/maximus, piriformis, Hamstring
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MOVE Hip Range of Motion: Active Passive Resisted Active Passive Resisted Flexion: (~120°) Extension: (~20-30°) Abduction: (~45-50°) Adduction: (~20°) Internal rotation: (~35°) External rotation: (~45°)
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Special Tests Drehmann Sign FAI testing: Rt: pos/neg Lt: pos/neg Trendelenburg testRt: pos/neg Lt: pos/neg Thomas test (flexion contracture/ITB tightness): Rt: pos/neg Lt: pos/neg Ober test FABER: NegPain: hip back Functional tests: Hop
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External rotation on hip flexion = OA
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Trendelenburg test
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MOVE Back ROM: FlexionExtension Lateral flexion Rotation Sacro-iliac Kinetic Test Leg Lengths:Rt_____cm.Lt_____cm.
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