Download Hip Assessment

Hip Assessment
Sports Med 2
History
• What are your symptoms
– Weakness, disability, pain
– Can they move their leg in a circle?
• Describe pain
– Hip pain is felt mainly in the groin and medial
frontal part of the thigh, can also refer to the
knee
– Is it radiating, tingly, dull, achy?
• When does the activity occur?
• How old is the athlete?
Observation
• Should observe while
standing in all directions,
standing on one leg, and walking
• Front view
– Are the hips even?
– A lateral tilted hip could mean a leg length discrepancy
or muscle contraction on one side
• Side view
– Abnormal tilt of the pelvis, anterior/posterior
– Could indicate lordosis or flat back
Observation
• Lower limb alignment
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Genu valgum (knocked knees)
Genu varum (bow legged)
Genu recurvatum (hyper-extended)
Patellar alignment
• Even PSIS
– Could indicate a lateral shift of the
pelvis
• Standing on one leg could produce hip
pain, indicate pain in pubic symphisis,
or abductor weakness
• Ambulation: the athlete should be
observed while walking and sitting
• Walking will cause distortion
Bony Palpation
• Anterior
– Anterior Superior iliac
spine (ASIS)
– Iliac crest
– Greater trochanter
– Pubic tubercle (we
wont do this one!)
• Posterior
– Posterior superior iliac
spine (PSIS)
– Ischial tuberosity (we
won’t do this one!)
– Sacroiliac joint
Palpation
• Soft tissue: we won’t
be doing these either!
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Groin region
Femoral triangle
Sciatic nerve
Major muscles
Palpation
• Groin palpitations
– Could be caused by
• Swollen lymph nodes,
indicating infection
• Adductor muscle strain
Palpation
• Muscle Palpation: for pain swelling or fiber
disruption
– Iliopsoas
– Sartorius
– Rectus femoris at the hip joint
– Gracilis
– Pectineus
– Adductors
– Gluteals
– Hamstrings