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Hip examinationIn medicine, the hip examination, or hip exam, is undertaken when a patient has a complaint of hip pain and/or signs and/or symptoms suggestive of hip joint pathology. It is a physical examination maneuver. The hip examination, like all examinations of the joints, is typically divided into the following sections:
The middle three steps are often remembered with the saying look, feel, move. Additional recommended knowledge
Position/Lighting/DrapingPosition - for most of the exam the patient should be supine and the bed or examination table should be flat. The patient's hands should remain at her sides with her head resting on a pillow. The knees and hips should be in the anatomical position (knee extended, hip neither flexed nor extended). Lighting - adjusted so that it is ideal. Draping - both of the patient's hips should be exposed so that the quadriceps muscles and greater trochanter can be assessed. InspectionInspection done while the patient is standingThe hip should be examined for:
Inspection done while supineThe hip should be examined for:
Measures
In hip fractures the affected leg is often shortened and externally rotated. PalpationThe hip joint lies is deep and cannot normally be directly palpated. To assess for pelvic fracture one should palpate the:
Movement
Normal range of motion
Special maneuvers
telescoping axial movement is tested with knee bent 90 degrees and lying on couch.tests for dislocation Other testsA knee examination should be undertaken in the ipsilateral knee to rule-out knee pathology. See also
Categories: Orthopedics | Physical examination |
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This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Hip_examination". A list of authors is available in Wikipedia. |