Lab: Hip & Pelvis Flashcards Preview

Orthopedic Diagnosis > Lab: Hip & Pelvis > Flashcards

Flashcards in Lab: Hip & Pelvis Deck (16)
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1
Q

Leg Length Discrepancy:

A

pos. = different measurements
ind. = true: bony abnormalities above or below the level of trochanter difference (anatomical short leg)
apparent: pelvic obliquity (tilted pelvis)

2
Q

Allis Sign:

A

pos. = difference in height and anteriority of the knees
(1) ind.= if one knee is lower= ipsilateral congenital hip dislocation or tibial discrepancy (anatomical short leg)
(2) ind.= if one knee is anterior= ipsilateral congenital hip dislocation or femoral discrepancy (contralateral anatomical short leg)

3
Q

Thomas Test:

A

pos. = lumbar spine maintains lordosis (should flatten) and hip or leg flexes
ind. = contracture of the hip flexors (iliopsoas)

4
Q

Anvil Test:

A

pos. = localized pain in long bone or in hip joint

ind. = possible fracture of long bone, or hip joint pathology

5
Q

Patrick Test:

aka-> FABERE SIGN

A

pos. = pain in the hip region

ind. = hip joint pathology

6
Q

Laguerre Test:

A

(1) pos.= pain in the hip joint
(1) ind.= hip joint pathology
(2) pos.= pain in the sacroiliac joint
(2) ind.= mechanical problem of the sacroiliac joint

7
Q

Gaenslen Test:

A

pos. = pain on the affected sacroiliac joint stressed into extension
ind. = general sacroiliac joint lesion, anterior sacroiliac ligament sprain or inflammation of the sacroiliac joint

8
Q

Lewin -Gaenslen Test:

A

pos. = pain on the affected sacroiliac joint stressed into extension
ind. = general sacroiliac joint lesion, anterior sacroiliac ligament sprain or inflammation of the sacroiliac joint

9
Q

Hibb Test:

A

(1) pos.= pain in the hip region
(1) ind.= hip joint pathology
(2) pos.= pain in the buttock/pelvic region
(2) ind.=sacroiliac joint lesion

10
Q

Ober Test:

A

pos. = affected thigh remains in abduction. (normal biomechanics, the thigh/hip will adduct)
ind. =contraction of the iliotibial band or tensor fascia lata. (usually secondary to synovitis of the hip, secondary to trauma of the gluteus medius and maximus)

11
Q

Pelvic Rock Test:

aka-> ILIAC COMPRESSION TEST

A

pos. = pain in either sacroiliac

ind. = sacroiliac joint lesion

12
Q

Nachlas Test:

A

pos. = pain in the buttock and/or pain in the lumbar region

ind. = sacroiliac joint lesion, or lumbar pathology

13
Q

Yeoman Test:

A

pos. = pain deep in the sacroiliac joint

ind. = sprain of the anterior sacroiliac ligaments

14
Q

Ely Sign (Ely test-Cipriano):

A

pos. = hip on side being tested will flex causing the buttock to raise off the table
ind. = rectus femoris or hip flexor contracture

15
Q

Ely Heel to Buttock Test:

A

(1) pos.= inability to raise the thigh
(1) ind.= iliopsoas spasm
(2) pos.= pain in the anterior thigh
(2) ind.= inflammation of the lumbar nerve roots
(3) pos.= pain in the lumbar region
(3) ind.= lumbar nerve root adhesions

16
Q

Trendelenburg Test:

A

pos. = high iliac crest on supported side and low crest on side of elevated leg
ind. = weak gluteus medius muscle on the supported side