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LE - HIP TESTS

QuestionAnswer
One leg stance Trendelenburg Sign
Positive sign: pelvic drop on contralateral side Trendelenburg Sign
Indication: weakness of gluteus medius/unstable hip Trendelenburg Sign
Supine with hip flexion, passive extend hip with ER then IR Mc Carthy Hip Extension sign
Positive sign: reproduction of pain Mc Carthy Hip Extension sign
Indication: labral pathology Mc Carthy Hip Extension sign
Supine, foot of test leg rests on opposite knee, passively push knee down Patrick’s test (FABER)
Positive sign: knee remains higher than opposite leg Patrick’s test (FABER)
Indication: iliopsoas spasm, SI joint dysfunction Patrick’s test (FABER)
Supine, patient holds one knee to chest, opposite leg extended, push knee down Thomas test
Positive sign: increased lumbar lordosis Thomas test
Indication: hip flexion contracture Thomas test
Supine, passive straight leg raise Sign of Buttock
Positive sign: limitation of motion, flexed knee, further hip flexion Sign of Buttock
Positive sign: no hip flexion Sign of Buttock
Indication: hip pathology, abscess, neoplasm, ischial bursitis Sign of Buttock
Supine, one knee to chest with opposite leg dangling off table Rectus Femoris contracture (Kendall)
Positive sign: knee extension of opposite leg Rectus Femoris contracture (Kendall)
Indication: rectus femoris contracture Rectus Femoris contracture (Kendall)
Prone, passively flex knee of test leg Ely’s test
Positive sign: hip flexion of test leg Ely’s test
Indication: rectus femoris tightness Ely’s test
Sidelying, passively abduct, extend, slowly lower leg Ober’s test
Positive sign: hip/leg remains abducted Ober’s test
Indication: TFL contracture/ITB tightness Ober’s test
Supine, hip flexion with knee flexion 90°, pressure on lateral femoral epicondyle while extending knee Noble compression test
Positive sign: severe pain at 30° flexion Noble compression test
Indication: ITB friction syndrome Noble compression test
Supine, both hips flexed 90°, knees flexed 90°, actively extend knees Hamstring contracture (90-90 SLR)
Positive sign: <125° knee extension Hamstring contracture (90-90 SLR)
Indication: hamstring tightness Hamstring contracture (90-90 SLR)
Long sitting, actively reach toes, compare both sides Hamstring contracture (Method 2)
Positive sign: inability to perform Hamstring contracture (Method 2)
Indication: hamstring tightness Hamstring contracture (Method 2)
Sitting with legs dangling, passive knee extension Tripod Sign
Positive sign: trunk backward lean Tripod Sign
Indication: hamstring tightness/contracture Tripod Sign
Sidelying with hip flexed 60°, passively push knee down Piriformis test
Positive sign: pain in muscle Piriformis test
Indication: piriformis syndrome Piriformis test
Standing, heel of test leg rests on opposite foot, actively remove shoe Taking off shoe test (TOST)
Positive sign: sharp pain Taking off shoe test (TOST)
Indication: biceps femoris muscle strain Taking off shoe test (TOST)
Prone, passively abduct hip with knee extended Phelps test
Positive sign: limitation of abduction Phelps test
Flex knees and further abduct hip Phelps test
Positive sign: increased hip abduction Phelps test
Indication: gracilis contracture Phelps test
Supine, hips/knees flexed, slight traction, hip abduction, pressure on greater trochanter Ortolani’s sign
Positive sign: click, clunk, or jerk Ortolani’s sign
Indication: dislocated hip Ortolani’s sign
Supine, hip/knee flexed, stabilize pelvis, abduct hip with pressure Barlow’s test
Positive sign: click Barlow’s test
Indication: dislocatable hip Barlow’s test
Supine, hips flexed 90° with knees flexed Galleazi/Allis test
Positive sign: one knee higher than other Galleazi/Allis test
Indication: unilateral hip dislocation (3–18 months) Galleazi/Allis test
Supine, hip/knee flexed 90°, push femur against table then pull away Telescoping Sign
Positive sign: excessive motion/pistoning/telescoping Telescoping Sign
Indication: dislocated hip Telescoping Sign
Supine, passive hip flexion, knee flexion, abduction Abduction test (Hart’s sign)
Positive sign: limitation of abduction Abduction test (Hart’s sign)
Positive sign: asymmetric gluteal folds Abduction test (Hart’s sign)
Indication: dislocated hip Abduction test (Hart’s sign)
Created by: ly8li
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