simple slides for hip examination . some method and procedures i showed as videos and are not added here . They are tests for movent of hip , CDH tests ,

1. EXAMINATION OF
HIP

2. HISTORY
1. PAIN
2. SWELLING
3. DEFORMITY
4. RESTRICTION OF
MOVEMENTS
Injury ,
pathology

3. AGE
• BIRTH – 5 YRS - CONGENITAL DISLOCATION
• 5 – 10 YRS - PERTHE ‘S DISEASE
• 10 – 15 YRS – ADOLESCENT COXA VARA
• ABOVE 40 YRS – OSTEOARTHRITIS

4. GENERAL EXAMINATION
1. Fever
2. Lymph nodes

5. EXAMINATION
of hip
1. Inspection
2. Palpation
3. Movement
4. Measurement

6. INSPECTION

7. Neck of femur
fracture

8. Posterior
dislocation

11. Trendelenburg gait is
positive
• Problem with abductors (poliomyelitis ,
motor neuron diesease )
• Problems with fulcrum ( dislocation ,
fracture of neck , perthes diesease )

12. Trendelenburg test

13. Hip deformities
1. Fixed abduction
2. Fixed adduction
3. Fixed flexion ( thomas test )
4. Fixed medial rotation
5. Fixed lateral rotation

14. Tuberculosis of hip
• Stage 1 – synovitis
 attitude - flexion , abduction , external
rotation
• Stage 2 – arthritis
 attitide - flexion , adduction , internal rotation
• Stage 3 – bone erosion
 attitude – same as stage 2

15. • Muscular wasting
• Skin ( swelling , scar , cold abscess )

16. EXAMINATION
of hip
1. Inspection
2. Palpation
3. Movement
4. Measurement

17. PALPATION

18. Fractures and dislocations
• Palpate for head of femur position (
posterior , groin , perineum )
• Femoral artery ( not felt in posterior
dislocation )
• Tenderness over the fracture site

19. Pathology
• Tenderness over greater trochanter ( bursitis ,
tendinitis )
• Palpation of joint ( arthritis )
• FABER TEST
anterior pain – femoro acetabular joint
posterior pain – sacro iliac joint
• FADIR TEST ( FEMORO ACETABULAR IMPINGEMENT )
• Femoral artery (congenital dislocation of hip)
• Lymph nodes

20. • Rectal examination :
done in cases of central
dislocation .

21. Congenital dislocation of hip
• Barlow test
• Ortolani test
• Telescopic test

22. EXAMINATION
of hip
1. Inspection
2. Palpation
3. Movement
4. Measurement

23. Movements
• Flexion – 120˚
• Extension – 15˚
• Abduction – 40˚
• Adduction – 30˚
• Internal rotation – 30˚
• External rotation – 45˚

24. EXAMINATION
of hip
1. Inspection
2. Palpation
3. Movement
4. Measurement

25. Measurements
1.Length of the limb :
True length – length from ASIS to medial
malleolus
Apparent length – length from
xiphisternum to medial malleolus

26. 2. Bryants triangle -

27. 3. Nelaton line -

28. 4. Schoemaker’s line :

29. 5. CHIENE’S LINE :
Line joining the greater
trochanters of femur and line joining
the ASIS are parallel .
6. Morris bitrochanteric test :
Distance between greater
trochanter and pubic symphysis is
measured and compared with the
other side .
7. Measurement of muscle girth