Hip examination

Inspect:

• posture
• lordosis/scoliosis
• pelvic tilting
• leg length disreptency
• muscle wasting - gluteus, quadriceps, small foot muscles
• high arched foot
• surgical scars - posterior and lateral
• gait - ?short limb gait, antalgic gait
• Trendelenburg test

Palpate:

• leg length
• apparent - from xiphisternus to med malleolus (eg. adduction contractures,)
• true - ASIS to med malleolus (determine tibial or femoral shortening; above or below trochanter)
• tenderness - ASIS, greater trochanter, head of femur (just lat to femoral art), iscial tuberosity (hamstring attachment)

Movement:

• Thomas test - fixed flexion deformity
• active and passive ROM (square pelvis at ASIS)
• flexion: 120
• extension: 15
• abduction: 40
• adduction: 25
• internal rotation: 45
• external rotation: 40
• power and reflex
• sensation