Movement
- Internal rotation - with knee and hip both flexed at 90 degrees the ankle is abducted.
- External rotation - with knee and hip both flexed at 90 degrees the ankle is adducted. (also done with the Patrick's test / FABER test)
- Flexion (also known as the Gaenslen's test)
- Extension - done with the patient on their side. Alignment should be assessed by palpation of the ASIS, PSIS and greater trochanter.
- Abduction - assessed whilst palpating the contralateral ASIS.
- Adduction - assessed whilst palpating the ipsilateral ASIS.
- Assessment for a hidden flexion contracture of the hip - hip flexion contractures may be occult, due to compensation by the back. They are assessed by:
- Placing a hand behind the lumbar region of back
- Getting the patient to fully flex the contralateral hip.
- The hand in the lumbar region is used to confirm the back is straightened (flexed relative to the anatomic position). If there is a flexion contracture in the ipsilateral hip it should be evident, as the hip will appear flexed.
Read more about this topic: Hip Examination
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