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Hip and Pelvis

Hip/Pelvis Special Tests

Special TestTests for...Positive (+) Test
Patrick/FABER iliopsoas spasm, SI dysfunction thigh does not lower; posterior pain (SI) or anterior pain (iliopsoas)
Gaenslen's SI joint dysfunction, L4 nerve lesion pain in the SI region
Spring SI joint mobility pain is elicited
Pelvic (Iliac) Compression integrity of SI ligaments due to sprain/irritation pain at the SI joints
Anterior Pelvic Distraction (Gapping) integrity for anterior SI ligaments pain in the gluteals, legs, increased laxity
Posterior Distraction (Hibb's) integrity of posterior SI ligaments greater laxity on injured side
Sacral Fixation (Gillett's) SI joint hypomobility, adhesions position of the PSIS remains level
Femoral Nerve Traction nerve pathology L2-L4 pain, numbness, tingling radiating to groin and/or anterior thigh
Trendelenberg Sign gluteus medius weakness NWB hip drops away from WB hip
Thomas Test tight hip flexors (iliopsoas) involved thigh flexes off table and back does not flatten against table
Kendall (Rectus Femoris Contracture) tight rectus femoris involved knee moves into EXT
Ely's tight rectus femoris hip on involved side spontaneously FLEX
Ober's ITB and TFL tightness hip stays ABD or pelvis moves before hip is ADD
Nobel's ITBS pain at about 30 degrees from full knee EXT
Renne's ITB Integrity pain at 30-45 degrees of knee FLEX at lateral femoral condyle
Tripod Sign (Hamstring Contracture) hamstring contracture athelte will EXT trunk to relieve pain in hamstrings upon knee EXT
90/90 Straight Leg Raise hamstring contracture knee FLEX is greater than 20 degrees to knee EXT
Piriformis piriformis tightness pain in piriformis; resultant sciatica
Fulcrum femoral stress fracture sharp pain, apprehension flet when fulcrum arm is under the potential fracture site
Hip Scouring (Quadrant) arthritis, osteochondral defects, avascular necrosis, acetabular labral defects pain, apprehension, catching, grinding, reproduction of symptoms
Leg Length anatomical or funcitonal leg length discrepancies difference in length >.25"
Limb Girth atrophy/swelling of limb difference in girth as compared bilaterally
Anatomical Leg Length leg length discrepancy difference in length >.25" as measured from medial malleolus to ASIS
Funcitonal Leg Length leg length discrepancy difference in length >.25" as measured from medial malleolus to umbilicus
Created by: tmsavage
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