Comprehensive Hip Examination: Assessing Manual Workers with Hip Pain
This document outlines a detailed hip examination for manual workers experiencing pain in the upper buttock, groin, and lateral hip. It includes a subjective history covering age, occupation, onset, duration, and symptoms such as clicking, stiffness, and giving way. The assessment includes observation of signs like wasting, swelling, and deformity. Various tests are highlighted, including lumbar spine and sacroiliac joint exclusions, passive and resisted tests in multiple positions to accurately evaluate hip functionality and identify potential issues.
Comprehensive Hip Examination: Assessing Manual Workers with Hip Pain
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Presentation Transcript
The Hip Examination Mazyad Alotaibi
Subjective History • Age • Occupation – manual workers • Site – upper buttock, groin, lat side of hip • Spread – L3 • Onset • Duration • Symptoms – clicking, giving way, stiffness, p+ns
Observation • Face • Hip – wasting, swelling, deformity, leg length • Posture • Gait - Trendelenburg
Exclude the lsp and SIJ • 1)lsp – posture, ext with hip flex, flex and SF supine • 2)SIJ – 4 test and compression
Hip Examination Supine 3)Passive tests – flexion, LR, MR, abd, add 4)resisted tests – flexion, abd, add, ext Prone 5) Passive tests – ext, MR 6) Resisted tests – MR, LR, knee flex and ext
