Hip Assessment
- Paul Williamson
- Jun 26, 2023
- 1 min read
Updated: Jan 31
Special Tests for Hip Assessment
Hip Osteoarthritis |
Femoral Acetabular Impingement FAI |
Acetabular Labral Tear ALT |
Chondrolabral Injury |
Gluteal Tendinopathy |
The overlap of symptoms and pathomechanics in intra-articular pathologies in conjunction with disease progression makes it difficult to accurately diagnose pathology and or injury.
The majority of stand alone clinical hip assessments do not show high sensitivity and or specificity. Research to date varies in quality and diagnostic accuracy, it is therefore suggested not to rely on a single stand alone test.
A good patient history combined with current symptoms, dysfunctions and a combination of assessments may yield a favourable diagnosis.
Osteoarthritis
Trendelenburg's test
Positive test identified by an asymmetric drop of one hip compared to the contralateral hip during single leg stance
Isometric Hip Abduction
Positive test if reproduction of pain or weakness noted compared to the contralateral hip
Hip Range of Motion Planes
Positive test is identified by reproduction of patients pain and range of motion loss compared to the contralateral side
FABERs (Femoral Abduction External Rotation)
Positive test is reproduction of pain near the anterior or lateral capsule of the hip
Intra-Articular Pathology - FAI / ALT / Chondral
FADDIR (Femoral Adduction Internal Rotation)
Positive test noted by reproduction of pain/symptoms in the groin
Flex-IR (Flexion Internal Rotation)
Positive test noted by reproduction of pain/symptoms in the groin
Gluteal Tendinopathy
Resisted External De-Rotation Test
Considered positive if spontaneous pain is reproduced
Resisted Hip Abduction
Positive test is replication of patient symptoms during the test
Did you find hip assessments useful ?
YES
NO
