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46 Interpretation of the clinical examination of the hip and buttock Capsular pattern Arthritis Traumatic arthritis Monoarticular steroidsensitive arthritis Rheumatoid-type arthritis Septic arthritis Tuberculous arthritis Haemarthrosis Crystal synovitis Beginning of arthrosis Limited range Disorders with a positive buttock sign Non-capsular patterns Inert structures other than the capsule Interpretation of the clinical examination of the hip and buttock Disorders without a positive buttock sign Resisted movements are negative Inert structures other than the capsule Resisted movements are positive Contractile structures Aseptic necrosis Advanced arthrosis Internal derangement Psoas bursitis Haemorrhagic psoas bursitis Gluteal bursitis Trochanteric bursitis Psychogenic pain Ischial bursitis Gluteal bursitis Femoral neck stress fracture Pubic ramus stress fracture Osteitis pubis Inguinal hernia Full range © Copyright 2013 Elsevier, Ltd. All rights reserved. Septic bursitis Ischiorectal abscess Fractured sacrum Neoplasm at the upper femur Neoplasm in the ilium Osteomyelitis of the upper femur Septic sacroiliac arthritis Loose femoral prosthesis See overleaf The Hip and Buttock Pain Resisted flexion is positive Resisted movements are positive Contractile structures Pain and weakness Avulsion fracture of trochanter Metastasis of femur Avulsion fracture of anterior superior iliac spine Abdominal neoplasm Weakness L2 root palsy L3 root palsy Psychoneurosis Pain Resisted extension is positive Weakness Pain Resisted adduction is positive Weakness Pain Resisted abduction is positive Resisted medial rotation is positive Resisted lateral rotation is positive Resisted extension of the knee is positive Resisted flexion of the knee is positive 628 Psoas tendinitis Rectus femoris tendinitis Sartorius tendinitis Obturator hernia Inflamed gluteal bursa Intermittent claudication Hamstrings tendinitis Gluteus maximus lesion S1 root palsy Adductor longus tendinitis Fracture or neoplasm in upper femur Osteitis pubis Lesions of the sacroiliac joint L2 – L4 root lesions Lesion of gluteus medius/minimus Lesion of tensor fasciae latae Sprain of iliotibial tract Sacroiliac joint lesions Pain and weakness Avulsion fracture of the greater trochanter Iliac apophysitis Weakness L5 root palsy Lesions with raised greater trochanter Pain Gluteal bursitis Weakness L5 root lesion Pain Gluteal bursitis Pain Tendinitis rectus femoris Pain and weakness Partial rupture of rectus femoris Weakness L3 root lesion Pain Weakness Hamstring syndrome S1, S2 root palsy