peripheral tut summary

peripheral tut summary - Robin Jung Min SON Hip Procedure...

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Robin Jung Min, SON Hip Trendelenburg’s Test Procedure: Pt stand on one leg and Dr observes pelvic position and motion. Do bilaterally Positive sign: Pelvis opposite side drop Purpose / Indication: weak gluteus medius or unstable hip on the stance side Sign of the Buttock Procedure: The patient lies in the supine position and a straight leg raise test is performed. If there is limitation on straight leg raising the examiner flexes the patients knee to see whether further hip flexion can be achieved Positive sign: No hip flexion occur Purpose / Indication: Lesion in the buttock or hip. Example lesion: ischial bursitis, neoplasm, abscess, hip joint pathology Thomas Test Procedure: Pt supine. Check for excessive lordosis. Then flexes one of pt.'s hips to the chest which should flatten out lumbar spine. In this position the examiner observes if the opposite leg remains on the table. Positive sign: If the contralateral hip flexes without knee extension that iliopsoas is tight. If knee extends and/or hip flexes rectus femoris is tight. If hip abducts, TFL is tight. Purpose / Indication:
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Robin Jung Min, SON Ely’s Test Procedure: Pt prone. Dr passively flex pt’s knee. Compare both side Positive sign: If the patients hip flexes on the side of passive knee flexion then a tight rectus femoris muscle is indicated Purpose / Indication: Ober’s test Procedure: Pt side lying on ISU with lower leg flexed at hip & knee. Dr. abducts the upper thigh as far as possible & slightly extend hip so that TFL & iliotibial band are over greater trochanter. Adduct the thigh as allowed by gravity while maintaining pelvis stabilized with opposite hand. Positive sign: Thigh remain abducted Purpose / Indication: Tight Iliotibial band Patrick’s Faber Procedure: Pt supine. Dr. places the patients foot so that it is on top of the patients other leg, just above the knee. The examiner then slowly lowers the patients leg down to the table. Positive sign: Test leg remains above the opposite leg and does not fall to the table Purpose / Indication: Hip Jt. Pathology myofascial shortness, or sacroiliac joint pathology
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Robin Jung Min, SON Craig’s Test Procedure: Pt prone with the knee flexed to 90 degrees on the side of assessment. Dr. palpates the posterior aspect of the greater trochanter. The hip is then passively internally and externally rotated until the trochanter is parallel with the examining table or the end-point is reached. The degree of anteversion or retroversion can be estimated based on the angle of the lower leg with the vertical. Positive sign: Internal femorocondylar torsional deformity = femoral anteversion External femorocondylar torsional deformity = femoral retroversion Purpose / Indication: Anteversion palpate greater Troch parallel to table Scouring Test (Quadrant Test) Procedure: Pt. Supine hip flexed and adducted Dr. Grasp knee and apply posterolateral force (axial load) through the hip. Femur is then passively flexed, adducted, & internally rotated
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This note was uploaded on 07/15/2011 for the course ECO 2023 taught by Professor Mr.raza during the Summer '10 term at FAU.

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peripheral tut summary - Robin Jung Min SON Hip Procedure...

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