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Examination of hip joint
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EXAMINATION OF HIP JOINT
NAME ; identity
AGE ;
SEX; ‐ male (ctev), female (CDH)
OCCUPATION;‐
SOCIO ECONOMIC STATUS ;–TB hip is common in low SES
CHIEF COMPLAINTS :‐
1) PAIN
2) DEFORMITY AND LURCH
3) INABILITY TO WALK
4) LIMB LENGTH DESCREPANCY
HISTORY OF PRESENTING ILLNESS: ‐ (it includes 2 sub headings, ADL, & NEGATIVE HISTORY)
‐PLEASE ELOBORATE ON chief complaints
PAIN‐ ; (remember SOCRATES –SITE ,ONSET, CHARECTER, RADIATION , ASSOCIATION,TIMING
,EXCERBATING AND RELEVING FACTORS ,SEVERITY)
DEFORMITY‐ SITE, ONSET, DURATION, PROGESSIVE OR NON PROGRESSIVE, ANY CORRECTION
ATTEMPTED/associated symptoms.
ACTIVITIES OF DAILY LIVING (ADL) :‐ is he able to sit cross legged, squatting possible or not, able to
use a bicycle to work,
NEGATIVE HISTORY :‐ This is very important, here you almost come to a diagnosis by ruling out
things that has caused his problems, pls rule out‐ Neglected TRAUMA(non unions, #NOF, #TROCH,
Pain in multiple joints(Rheumatoid), Constitutional symptoms loss of weight , appetite, evening rise
in temperature(tuberculosis), Fever(septic), long consumption of drugs eg‐ steroids, alcohol ,(AVN
hip) anti epilepsy drugs(osteoporosis) , obesity and endocrine disorders in children( SCFE),Painful
crisis in hip (sickle cell anemia) bleeding PR ( ulcerative colitis), back pain and stiff neck(Ankylosing
spondylitis)
PAST HISTORY: ‐ Any previous accidents, or operations on hip (non unions of neck and trochanter,
Septic arthritis hip), Old history of tuberculosis, rheumatoid, bleeding diasthesis, DM, HTN,
PERSONEL HISTORY:‐ Smoking, Alcohol, diet,
FAMILY HISTORY: ‐ TB, RHEUMATIOD, CDH, ANKY‐ SPONYLITIS,DWARFISM,ANGULAR DEFORMITIES