Hip Examination

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 a ball-and-socket synovial joint formed between the os coxa (hip bone) and the femur. Functionally, the hip joint enjoys a very high range of motion. It is the second largest weight-bearing joint in the body, after the knee joint

Subjective Examination[edit | edit source]

Patient Intake[edit | edit source]

[1]

The first step during the subjective examination is the description of the patient's symptoms

  • 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]|}