Page 442 - 2021 IDMT Digital

Pelvis, Hip, Thigh
20 Ober’s Test Place patient in the lateral Student must perform test
decubitus position with the and verbalize that failure of
side to be tested facing up limb to adduct past midline
indicates a contracture of the
Flex patient’s knee to 90 iliotibial tract
degrees, abduct hip to about
40 degrees, and fully extend
the hip
Adduct limb toward
examination table
21 Piriformis Test Place patient in the lateral Student must perform test
decubitus position with the and verbalize that radiating
side to be tested facing up pain along the course of the
sciatic nerve indicates
Flex hip 45 degrees with knee piriformis syndrome
flexed about 90 degrees (entrapment or irritation of
the sciatic nerve by the
Stabilize pelvis with one hand piriformis muscle)
and push the flexed knee
toward the floor with the
other hand
22 Patrick’s Test With patient in supine Pain Elicited in the hip joint is
(FABER) position, passively flex, a positive test and indicates
abduct, and externally rotate pathology. i.e. labral injury,
the hip tested so that the femoroacetabular
patient’s heel is touching the impingement
opposite patella
Pain elicited in the sacroiliac
Push downward on the joint is a positive test and
ipsilateral knee indicates pathology in the SI
joint i.e. sacroiliitis associated
with ankylosing spondylitis
Knee
23 Patellar Apprehension With the patient supine and Apprehension is a positive
Test relaxed, you grasp the test and indicates patella
symptomatic limb at the ankle instability
and abduct it sufficiently to
allow the knee to be flexed Pain with this test can indicate
over the side of the table patellofemoral pain syndrome
With the thumb or fingers of
the other hand, you perform a
lateral patellar glide, pushing
the patient’s patella as far
laterally as possible
Then slowly flex the patient’s
knee with the other hand

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