Hip Special Tests

Patellar-pubic percussion test

pt supine with legs extended, PT places stethescope over pubic symphysis, taps each patella with a hammer and compare sound

raises concern for hip fx

Fulcrum test

pt seated at edge of table with knees bent over edge, PT places forearm under pt’s thigh and places on CL top of thigh, apply downward pressure

+if sharp pain or apprehension for femoral shaft stress fx

PROM IR with OP

PT passively flexes hip and knee to 90, passively IR and apply OP

+concordant pain

FADIR test

pt supine, PT passively flexes hip and knee to 90, passively adducts hip while maintaining flexion, then add passive IR

+concordant pain for FAIS, Labral tear, hip OA

FABER

pt supine, PT places foot on uninvolved knee (flex, er, abd), PT applies pressure on medial knee and CL ASIS

deep groin pain = intraarticular hip pathology (FAIS, labrum, OA)

superficial groin = contractile (iliopsoas, adductor)

Deep lower back/butt = SIJ

Scour Test

pt supine, PT places hip into end-range hip flexion and ADD, add compression along longitudinal axis, PT passively moves hip along smooth arc into ABD

+reproducing deep pain

Flexion-adduction test

pt is supine, PT flexes hip to 90 and then passively adducted

+if ADD is blocked at neutral with hard end feel

Log Roll Test

pt supine with hip and knee in 0 extension, PT passively rolls leg IR and ER and notes differences in ER PROM

+if pain and ROM differences