Joint play and special tests - Hip

Long and short-axis distraction is best for what motions

general

(Hip) Posterior glides are associated with what motions

flexion and internal rotation

(Hip) Anterior glides are associated with what motions

extension and external rotation

(Hip) inferior glides are associated with what motion

abduction

Flexion adduction test

The flexion adduction test assesses for the presence of

FAI, hip dysplasia, and piriformis syndrome

A positive flexion adduction test is

inability to adduct the flexed hip past midline toward the opposite hip

Flexion, Adduction, Axial Compression Test

The flexion adduction axial compression test assesses

labral degeneration, fraying, or tearing

a posative flexion adduction axial compression test is

reproduction of pain/discomfort in the groin

Internal Rotation-Flexion-Axial Compression Test

Internal Rotation-Flexion-Axial Compression Test tests for

labral degeneration, fraying, or tearing

a positive Internal Rotation-Flexion-Axial Compression Test is

reproduction of pain/discomfort in the groin

Internal Rotation load/grind test

Internal Rotation load/grind test assess

labral pathology

Fitzgerald test

Fitzgerald test screens for

posterior or anterior labrum pathology, FAI

a positive Fitzgerald is

reproduction of the patient's pain with/ without a click.

Scour test

scour test screens for

OA, labrum tear, FAI, Joint capsule pathology, iliopsoas strain, femoral neck patholgy

a positive scour test is

pain or apprehension at a given point during the examination.

FABER (patrick) test

FABER/Patrick test asses for

Hip pathology, Labrum OA, Iliopsoas, Capsule, Sacroiliac joint dysfunction

A positive FABER test is

concordant pain near the anterior or lateral capsule of the hip

Craig test

Craig test screens for

femoral anteversion or femoral retroversion

a posative craig test would be

8-15º

- Anteversion is any angle greater than 15

- retroversion is any angle less than 8

Log roll test

log roll test screens for

labral tears and iliofemoral ligament laxity

a positive log roll test is

a click (labrum) or excessive external rotation (ligament)

Trendelenburg sign

Trendelenburg sign tests for

abnormal pelvic drop

resisted straight leg raise test

resisted straight leg raise test asses for

inflammation, appendicitis or inflammation of the iliopsoas

A positive resisted straight leg raise test would be

reproduction of pain in the lower quadrant,

Thomas test

Thomas test assesses for

tightness of the hip flexors of the extended leg

a posative thomas test would be

Failure for the leg to drop to table

Ober test

ober test screens for

tightness of structures including ITB and TFL

a posative ober test would be

failure of the knee to drop to the plinth

Fulcrum test

The fulcrum test screens for

femoral shaft stress fracture

a positive fulcrum test would be

if the patient reports increased discomfort/sharp pain, usually accompanied by apprehension