+++
Clinical Examination of the Pelvis and Thigh
++
Examination Map HISTORY
Past Medical History
History of the Present Condition
Mechanism of Injury
FUNCTIONAL ASSESSMENT Gait Evaluation
INSPECTION Hip Angulations
Angle of inclination
Angle of torsion
Inspection of the Anterior Structures
Hip flexors
Inspection of the Medial Structures
Adductor group
Inspection of the Lateral Structures
Iliac crest
Nélaton's line
Inspection of the Posterior Structures
Posterior superior iliac spine
Gluteus maximus
Hamstring muscle group
Median sacral crests
Leg-Length Discrepancy
Palpation Palpation of the Medial Structures
Gracilis
Adductor longus
Adductor magnus
Adductor brevis
Palpation of the Anterior Structures
Pubic bone
Inguinal ligament
Anterior superior iliac spine
Anterior inferior iliac spine
Sartorius
Rectus femoris
Palpation of the Lateral Structures
Iliac crest
Tensor fasciae latae
Gluteus medius
Iliotibial band
Greater trochanter
Trochanteric bursa
Palpation of the Posterior Structures
Median sacral crests
Posterior superior iliac spine
Gluteus maximus
Ischial tuberosity
Ischial bursa
Sciatic nerve
Hamstring muscles
JOINT AND MUSCLE FUNCTION ASSESSMENT Goniometry
Flexion
Extension
Abduction
Adduction
Internal rotation
External rotation
Active Range of Motion
Flexion
Extension
Abduction
Adduction
Internal rotation
External rotation
Manual Muscle Tests
Hip flexion (iliopsoas)
Knee extension (rectus femoris)
Hip extension
Abduction
Adduction
Internal rotation
External rotation
Passive Range of Motion
Flexion
Extension
Abduction
Adduction
Internal rotation
External rotation
JOINT STABILITY TESTS Stress Testing
Not applicable
Joint Play Assessment
Passive range of motion
NEUROLOGICAL EXAMINATION Lower Quarter Screen
Sciatic Nerve
Femoral Nerve
VASCULAR EXAMINATION Distal capillary refill
Distal pulse
Posterior tibial artery
Dorsal pedal artery
REGION-SPECIFIC PATHOLOGIES AND SELECTIVE TISSUE TESTS Iliac Crest Contusions
Muscle Strains
Hamstring tear
Quadriceps Contusion
Slipped Capital Femoral Epiphysis
Iliotibial Band Friction Syndrome
Legg-Calvé-Perthes Disease
Femoral Neck Stress Fracture
Degenerative Hip Changes
Labral Tears
Hip subluxation
Athletic Pubalgia
Osteitis Pubis
Piriformis Syndrome
Snapping Hip Syndrome
Internal cause
External cause
Intra-articular cause
Bursitis
Trochanteric bursitis
Ischial bursitis
++
++++
Selective Tissue Test 9-1: Clinical Determination of the Angle of Torsion
This procedure is most easily performed by two clinicians: one to maneuver the leg and the other to goniometrically measure the angle of the ...