Orthopaedic PE
Hip Examination
Side examined
1LookInspection — standing
Posture & alignment
Normal posture
Increased lumbar lordosis
Pelvic obliquity
Postural scoliosis
Fixed flexion deformity
Fixed abduction deformity
Fixed adduction deformity
Limb & soft tissue
Gluteal wasting
Quadriceps wasting
Scar(s) visible
Sinus tract
Skin changes
2GaitWalk & Trendelenburg
Normal gait
Antalgic gait
Trendelenburg gait
Short-leg gait
Gluteus maximus gait
Uses walking aid
Trendelenburg test
Standing on affected side
3MoveRange of movement
FFD Thomas test
Fixed flexion deformity
Active ROM drag to record degrees
Restriction pattern
All movements restricted
Rotation mainly restricted
Pain at end range only
Pain on internal rotation
Capsular pattern
4Leg lengthMeasure & localise
Apparent length umbilicus → medial malleolus
Apparent discrepancy
True length ASIS → medial malleolus
Discrepancy
Amount
Localisation
Galeazzi's test
Bryant's triangle
Block test
5Special testsLie patient
Intra-articular
Log-roll
Stinchfield
Impingement FAI
Anterior (FADIR)
Posterior
FABER / Patrick
DEXRIT
IFI
Contractures
Ely's (rectus fem.)
Ober's (ITB)
Phelps' (gracilis)
Other
Piriformis
Snapping hip
No snapping
Internal snap (iliopsoas)
External snap (ITB)
Painful snapping
Painless snapping
6Neurovascular
Distal NV intact
Reduced hip flexor power
Reduced hip abductor power
Reduced hip extensor power
DP pulse absent
PT pulse absent
Femoral nerve deficit
Sciatic nerve deficit
Report
Report copied to clipboard