shortcut to content
Minnesota State University, Mankato
Minnesota State University, Mankato

Thigh/Hip Evaluation Module

Page address: http://ahn.mnsu.edu/athletictraining/spata/hipmodule/

Subjective/History

Determine 6: activity, MOI, location of pain, type of pain, severity of pain, onset of pain, unusual sounds/ sensations, actions that increase & decrease pain, S/S, change in S/S over time, prior injury/ surgery, family history & general medical health

Objective

Inspection 1,6:

General: swelling, discoloration, deformity, muscle symmetry/atrophy & gait

Skin: neurofibroma, Faun's Beard, Cafe Au Lait Spots, blisters, discoloration, open wounds, scars& skin infections

Hip Angulations: angle of inclination, angle of torsion

Leg Length Discrepancy: functional leg length discrepancy, true leg length discrepancy, apparent leg length discrepancy

Medial View: adductor group

Lateral View: pelvic tilt, iliac creast, Nelaton’s line

Anterior View: hip flexors, pelvic obliquity

Posterior View: gluteus maximus, PSIS, median sacral crest

Postural Assessment:

Gait Assessment:

Hip Palpation Rollover: using internet explorer rollover the images to trace some anatomy of the hip and thigh

Bony Palpation 1:

Anterior Aspect: ASIS, iliac crest, iliac tubercle, greater trochanter & pubic tubercles

Posterior Aspect: PSIS, ischial tuberosity & SI

Soft Tissue Palpation 1:

Zone 1 (Femoral Triangle): borders (inguinal ligament, sartorius, adductor longus muscle) floor (pectineus, iliopsoas) contents (femoral artery, femoral nerve, femoral vein, lymph chain)

Zone 2 (Greater Trochanter): trochanteric bursa, gluteus medius

Zone 3 (Sciatic Nerve): sciatic nerve

Zone 4 (Iliac Crest): cluneal nerves

Zone 5 (Hip & Pelvic Muscles): iliopsoas, sartorius, rectus femoris, gracilis, pectineus, adductor longus, adductor brevis, adductor magnus, gluteus medius, gluteus maximus, hamstrings

Range of Motion 1,5:

AROM: abduction, adduction, flexion, extension, internal rotation & external rotation

PROM: abduction (45–50°), adduction (20–30°), flexion (120°), extension (30°), internal rotation (35°) & external rotation (45°)

RROM: abduction, adduction, flexion, extension, internal rotation & external rotation

Neurovascular Exam

Manual Muscle Testing  2:

Gluteus Maximus, Gluteus Medius, Gluteus Minimus, Hip Adductors (Pectineus, Adductor magnus, Gracilis, Adductor brevis, Adductor longus), Hip Internal Rotators (Tensor fasciae latae, Gluteus minimus, and Gluteus medium), Iliopsoas, Biceps Femoris, Semitendinosus, Semimembranosus, Quadriceps, Sartorius, Tensor Fascia Latae

Special Tests  3,7:

Weber–Barstow Maneuver, Supine to Long–Sit, Supine "True" Leg Length Discrepancy, Supine "Apparent" Leg Length Discrepancy, Clinical Discrimination Between Foral & Tibial Leg Length Discrepancy, Craig's, Gaenslen's, Fulcrum's, Nelaton's Line, Hip Scouring, Torque, Gillet's, Sacroiliac Compression, Sacroiliac Distraction, Piriformis Tightness, 90–90 Straight Leg Raising, Ely's, Thomas's, Patrick's, Trendelenburg's, Valsalva, Oppenheim, Bowstring, Babinski, Slump, Seated Straight Leg Raise, Single Straight Leg Raise, Bilateral Straight Leg Raise, Malinger's, Kernig, Stork, Hoover

Assessment

Identifies examiner's impression of injury & potientally complicating factors based on subjective & objective information

Plan

Explains examiner's goals as well as how the examiner intends on meeting these goals through initial managent, treatment, rehabilitation