7. • Laterally
Exaggerated lumbar lordosis
Position of trochanter
3S
• Posteriorly
Gluteal fold/ wasting
Mass
3S
• Medially
Adductor spasm
8. Palpation
• Warmth
• Tenderness
• Vascular sign of narath
• GT- Level, Surface, Tenderness,
• Digital bryants
• Posterior joint line- PSIS to Ischial tuberosity (U1/3-L2/3)
9. Deformities
• Thomas test for FFD of hip
• Coronal and sagittal plane
• Rotational deformities- hip
flexion and extension
10. Movements
• ROM – active and passive
• Flexion, Extension, Adduction, Abduction, Ext / Int rotation
• Pain , crepitus, spasm
11. measurements
• Apparent- xiphisternum to medial malleoli
• True –square the pelvis (ASIS to MJL, MJL to MM)
• Sound and affected measure in same position
• Others – Muscle wasting/ bryants triangle
12. lines
• Nelatons- Patient in lateral position, hip flexed in 90 degree.
line drawn from ischial tuberosity to ASIS should pass through
GT
13. • Shoemakers line – GT to ASIS and to abdomen-
normal – line should meet in centre or above umblicus
• Chienes line- line to ASIS
line to GT
should be parallel.
• Morris bi trochanteric line- Tip of trochanter to pubic
symphysis.
