Hip Examination: Difference between revisions

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| {{#ev:youtube|Y_EZvm0iSno|250}} <ref>BJSM Videos. Hip and Groin Exam (3 of 7): Patient history &amp; palpation. Available from: http://www.youtube.com/watch?v=Y_EZvm0iSno [last accessed 25/01/14]</ref>
| {{#ev:youtube|Y_EZvm0iSno|250}} <ref>BJSM Videos. Hip and Groin Exam (3 of 7): Patient history &amp; palpation. Available from: http://www.youtube.com/watch?v=Y_EZvm0iSno [last accessed 25/01/14]</ref>
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The first step during the subjective examination is the description of the patient's symptoms. Taking the history is a vital component of the subjective examination as it helps the clinician develop a hypothesis about the mechanism of injury, type of the injured structures and extent of the injury or damage.
The first step during the examination is the patient interview, during which the clinician gets a description of the presenting symptoms from the patient. Taking the history is a vital component of the subjective examination as it helps the clinician develop a hypothesis about the mechanism of injury, type of the injured structures and extent of the injury or damage. Also, details like the nature of the pain, 24-hour pattern of the pain, activities that trigger the pain, pain aggravating and relieving factors etc., are gotten from the patient during the interview.
 
The patient's past medical history, as well as their social/family history is also important as this helps the clinician rule out hereditary conditions. Any surgical histories that are specific to the hip region is also vital, for example, a patient who had a hip joint replacement surgery and is currently complaining of pain at the hip joint. The patient's drug history and current medications they are on should also be documented as well as any allergies they might have.
*Self‐report  
*Self‐report  
*Performance‐based outcome measures  
*Performance‐based outcome measures  

Revision as of 10:58, 29 August 2018

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Original Editor - Laura Ritchie Top Contributors - Samuel Adedigba, Kim Jackson, Rachael Lowe, Laura Ritchie, Vidya Acharya, Admin, 127.0.0.1, Kai A. Sigel, Tony Lowe, Naomi O'Reilly and Wanda van Niekerk

Introduction[edit | edit source]

The Hip joint is one of the most important joints in the body because of the vital role it plays in locomotion. It is the second largest weight-bearing joint in the body, after the knee joint. It is a ball-and-socket synovial joint formed between the os coxa (hip bone) and the femur. The rounded head of the femur forms the ball, which fits into the acetabulum (socket in the pelvic bone) and ligaments connect the ball to the socket, thereby providing tremendous stability to the joint. Functionally, the hip joint enjoys a very high range of motion.

All of the various components of the hip mechanism assist in the mobility of the joint. Damage to any single component can negatively affect range of motion and ability to bear weight on the joint. 

Subjective Examination[edit | edit source]

Patient Intake[edit | edit source]

[1]

The first step during the examination is the patient interview, during which the clinician gets a description of the presenting symptoms from the patient. Taking the history is a vital component of the subjective examination as it helps the clinician develop a hypothesis about the mechanism of injury, type of the injured structures and extent of the injury or damage. Also, details like the nature of the pain, 24-hour pattern of the pain, activities that trigger the pain, pain aggravating and relieving factors etc., are gotten from the patient during the interview.

The patient's past medical history, as well as their social/family history is also important as this helps the clinician rule out hereditary conditions. Any surgical histories that are specific to the hip region is also vital, for example, a patient who had a hip joint replacement surgery and is currently complaining of pain at the hip joint. The patient's drug history and current medications they are on should also be documented as well as any allergies they might have.

  • Self‐report
  • Performance‐based outcome measures
  • Region‐specific historical examination

Special Questions[edit | edit source]

  • Red Flags
  • Yellow Flags

Investigations[edit | edit source]

  • Radiological Considerations

Objective Examination[edit | edit source]

Observation[edit | edit source]

[2]
  • Posture
  • Movement Patterns

Functional Tests[edit | edit source]

Palpation[edit | edit source]

  • supine
  • prone
  • seated

Neurologic Assessment[edit | edit source]

Movement Testing[edit | edit source]

  • AROM, PROM, and Overpressure
  • Passive Intervertebral Motion
  • Muscle Strength
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]

Special Tests[edit | edit source]

[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]

References[edit | edit source]

  1. ↑ BJSM Videos. Hip and Groin Exam (3 of 7): Patient history & palpation. Available from: http://www.youtube.com/watch?v=Y_EZvm0iSno [last accessed 25/01/14]
  2. ↑ BJSM Videos. Hip & Groin Exam (2 of 7): Inspection & range of motion. Available from: http://www.youtube.com/watch?v=WpM8h4mCLCc [last accessed 25/01/14]
  3. ↑ Physiotutors. Active Range of Motion (Hip Joint). Available from: https://www.youtube.com/watch?v=3OiJqAtPQUc
  4. ↑ Physiotutors. Passive Range of Motion (Hip Joint). Available from: https://www.youtube.com/watch?v=3lTv4gpRWxg
  5. ↑ Physiotutors. Resisted Isometric Testing (Knee Joint). Available from: https://www.youtube.com/watch?v=F7LRQARxCpQ
  6. ↑ Physiotutors. Joint Play of the Hip Joint. Available from: https://www.youtube.com/watch?v=DBbgWLOEBOc
  7. ↑ BJSM Videos. Hip and Groin Exam (4 of 7): Range of motion. Available from: http://www.youtube.com/watch?v=UfjQmhoCM5A [last accessed 25/01/14]
  8. ↑ BJSM Videos. Hip and Groin Exam (5 of 7): Manual muscle testing. Available from: http://www.youtube.com/watch?v=Mdg1uP0kMbc [last accessed 25/01/14]
  9. ↑ BJSM Videos. Hip and Groin Exam (6 of 7): Special tests. Available from: http://www.youtube.com/watch?v=HzlAUaovrKY [last accessed 25/01/14]|}
  10. ↑ BJSM Videos. Hip and Groin Exam (7 of 7): Labral tears. Available from: http://www.youtube.com/watch?v=Rtp4oz0_3YY [last accessed 25/01/14]|}
  11. ↑ BJSM Videos. FADDIR test. Available from: http://www.youtube.com/watch?v=3wK8JtHHAbg [last accessed 25/01/14]
  12. ↑ BJSM Videos. Flexion internal rotation test. Available from: http://www.youtube.com/watch?v=7RvaGasiWXM[last accessed 25/01/14]
  13. ↑ BJSM Videos. Thomas test. Available from: http://www.youtube.com/watch?v=lYbsVNtC1PM [last accessed 25/01/14]|}
  14. ↑ BJSM Videos. Trendelenburg's Sign. Available from: http://www.youtube.com/watch?v=Cewq53Wc7Jw[last accessed 25/01/14]|}
  15. ↑ BJSM Videos. Resisted Hip Abduction test. Available from: http://www.youtube.com/watch?v=goJXyusCCzA [last accessed 25/01/14]|}
  16. ↑ BJSM Videos. Resisted External Derotation Test. Available from: http://www.youtube.com/watch?v=Aq3Ripz4Jjw [last accessed 25/01/14]|}
  17. ↑ BJSM Videos. Single Adductor Test. Available from: http://www.youtube.com/watch?v=I21LmYARno0 [last accessed 25/01/14]|}
  18. ↑ BJSM Videos. Squeeze test. Available from: http://www.youtube.com/watch?v=--W5G9lP7pM [last accessed 25/01/14]|}
  19. ↑ BJSM Videos. Bilateral Adductor Test. Available from: http://www.youtube.com/watch?v=zOSoTz1IwWs [last accessed 25/01/14]|}
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