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  • Clinical Examination of Hip Joint

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    Terence Dsouza
    39 visualizzazioni23 pagine
    This document provides guidance on clinically examining the hip joint. It outlines the standard sequence of examination, including inspection, palpation, range of motion testing, and measurements. Key points of inspection include gait analysis and examining limb position and length. Palpation focuses on areas of tenderness. Range of motion is measured for flexion, extension, abduction, adduction, and rotation. Special tests like Trendelenburg's test are also described to evaluate for specific hip issues. The document provides detailed steps for properly performing the hip examination.

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    hip joint examination-UG students

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    This document provides guidance on clinically examining the hip joint. It outlines the standard sequence of examination, including inspection, palpation, range of motion testing, and measurements. Key points of inspection include gait analysis and examining limb position and length. Palpation focuses on areas of tenderness. Range of motion is measured for flexion, extension, abduction, adduction, and rotation. Special tests like Trendelenburg's test are also described to evaluate for specific hip issues. The document provides detailed steps for properly performing the hip examination.

    Copyright:

    © All Rights Reserved
    Scarica in formato PPTX, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    39 visualizzazioni23 pagine

    Clinical Examination of Hip Joint

    Caricato da

    Terence Dsouza
    This document provides guidance on clinically examining the hip joint. It outlines the standard sequence of examination, including inspection, palpation, range of motion testing, and measurements. Key points of inspection include gait analysis and examining limb position and length. Palpation focuses on areas of tenderness. Range of motion is measured for flexion, extension, abduction, adduction, and rotation. Special tests like Trendelenburg's test are also described to evaluate for specific hip issues. The document provides detailed steps for properly performing the hip examination.

    Copyright:

    © All Rights Reserved
    Scarica in formato PPTX, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    di 23

    Clinical Examination of hip

    Joint
    Dr Terence Dsouza, M.S
    Dept Of Orthopedics
    Father Muller Medical College
    Mangalore

    Sequence of examination

    Gait
    Attitude of the lower limbs
    Inspection
    Palpation
    ROM
    Measurements
    Special tests

    Gait
    Two main phases: Stance & swing phase
    Types of gait:
    Antalgic gait( Stance phase is less)
    Trendelenburg gait( sound side sinks!!)
    Short limb gait( Shoulder dipping)
    Gluteus maximus gait( Lurching gait)
    In toeing gait( in excessive femoral
    anteversion)

    Terminologies
    Attitude:
    Position of the limb in an unaltered
    position of ease .
    Deformity:
    Any deviation from the normal
    anatomy of the limb is a deformity.
    If the deformity goes uncorrected
    overtime it might lead to contracture.

    Normal attitude of the LL


    Hip in neutral
    Knees in neutral with patella facing
    upwards and outwards
    Ankles in neutral.
    In pathological conditions: E.g
    Hips in 20 degree flexion, ankles in
    30 degree plantarflexion etc

    Inspection
    Inspection Above downwards: Inspect the spine first
    LOOK FOR EXAGGERATED LUMBAR LORDOSIS

    Thomas test to reveal FFD

    Thomas test( Contd)

    Inspection( Contd)
    Levels of ASIS
    Limb length
    Swelling in scarpas triangle
    Wasting of gluteal muscels/swelling
    in the gluteal area!!

    Levels of ASIS & Limb length


    Adduction deformity: Shortening
    ( ASIS high)
    Abduction deformity:
    Lengthening( ASIS low)

    Palpation
    Local rise of temperature
    Localised tenderness over joint line.
    Anterior joint line:
    Below & lateral to mid-inguinal
    point.
    Palpation of Greater trochanter
    Palpation of lymph nodes : External
    iliac

    Deformities
    Correction of deformities/ Squarring
    the pelvis:
    Exaggerating the deformity until
    ASIS is same level
    Adduction defomrity ( Abduct more)
    Abduction deformity ( Adduct more)

    Range of Movement

    Flexion( 0-120)
    Extension(0-15)
    Abduction(0-40)
    Adduction(0-30)( can cross middle
    1/3rd of other limb)
    Rotations: External(45) & Internal(30)

    Measurements
    Apparent
    measurements( Xiphisternum to
    Medial Malleolus)
    True measurements( after squaring
    the pelvis)
    To square the pelvis: Exaggerate the
    deformities!
    (ASIS to MM)
    Bryants triangle/ Nelatons line

    Apparent Measurement

    Bryants test-For U/L Hip


    Pathology

    Palpable Bryants

    Nelatons line

    Special tests
    Trendelenurg test
    Telescopy test

    Trendelenburgs test

    A: Normal Lft
    hip
    B: Affected Rt

    3 components of Trendelenburgs
    test

    Thank you!!

    Really???..........!!?

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