Term
| Warn the patient that this test may be painful. Percuss the heel of the supine patient on the painful side. If the patient feels a jarring pain in the region of the hip when the heel is percussed = fracture of the neck of the femur. If there is localized pain in the leg = fracture in the fibula or tibia. If the pain is localized in the thigh = fracture of the femur. If the pain is localized to the heel = calcaneus fracture. This is not a recommended test as it is extremely painful. |
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| Ask the supine patient to flex the thigh and knee at right angles. Support the foot of the patient with your forearm and then abduct and externally rotate the patient’s thigh. If this action causes pain in the hip = hip lesion, iliopsoas spasm or sacroiliac lesion. |
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Definition
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| Ask the patient to lie on the unaffected side. Stabilize the patient’s pelvis with one hand on the iliac crest. Grasp the patient’s ankle with the other hand and flex the knee at 900. Passively abduct the involved limb and then allow the limb to fall freely. If the leg remains abducted = iliotibial band syndrome or trochanteric bursitis |
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| Abduct and externally rotate the hips of the supine infant while flexing the knees. If this action produces a palpable or audible click in one hip = congenital hip dislocation. |
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| Place the external malleolus of one limb of the supine patient over the patella of the opposite limb. Apply gentle downward pressure on the Flexed knee causing ABduction and External Rotation and then Extension. If this action causes pain in the hip region = hip pathology. If this action causes pain in the sacroiliac region = SI joint dysfunction. |
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Definition
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| Ask the supine patient to bend the hip and knee of the unaffected side towards the abdomen. Now ask to bring the knee to the chest and hold this position. If this action causes the knee and thigh of the opposite limb to come off the table = flexion deformity of the hip or tight hip flexors like the iliopsoas. |
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Definition
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Term
| With the patient standing with the hands on the hips, ask the patient to lift one knee to hip level. If this action causes the iliac crest on the side that is being lifted to be lower than the other side = weakness in the contralateral hip abductors due to damage of the superior gluteal nerve which affects the gluteus medius muscle. It could also be seen in a developed Legg-Calvé-Perthes disease or muscular dystrophy. |
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