Hip Assessment Sports Med 2 History What are

Hip Assessment Sports Med 2

History • What are your symptoms – Weakness, disability, pain – Can they move their leg in a circle? • Describe pain – Hip pain is felt mainly in the groin and medial frontal part of the thigh, can also refer to the knee – Is it radiating, tingly, dull, achy? • When does the activity occur? • How old is the athlete?

Observation • Should observe while standing in all directions, standing on one leg, and walking • Front view – Are the hips even? – A lateral tilted hip could mean a leg length discrepancy or muscle contraction on one side • Side view – Abnormal tilt of the pelvis, anterior/posterior – Could indicate lordosis or flat back

Observation • Lower limb alignment – – Genu valgum (knocked knees) Genu varum (bow legged) Genu recurvatum (hyper-extended) Patellar alignment • Even PSIS – Could indicate a lateral shift of the pelvis • Standing on one leg could produce hip pain, indicate pain in pubic symphisis, or abductor weakness • Ambulation: the athlete should be observed while walking and sitting • Walking will cause distortion

Bony Palpation • Anterior – Anterior Superior iliac spine (ASIS) – Iliac crest – Greater trochanter – Pubic tubercle (we wont do this one!) • Posterior – Posterior superior iliac spine (PSIS) – Ischial tuberosity (we won’t do this one!) – Sacroiliac joint

Palpation • Soft tissue: we won’t be doing these either! – – Groin region Femoral triangle Sciatic nerve Major muscles

Palpation • Groin palpitations – Could be caused by • Swollen lymph nodes, indicating infection • Adductor muscle strain

Palpation • Muscle Palpation: for pain swelling or fiber disruption – Iliopsoas – Sartorius – Rectus femoris at the hip joint – Gracilis – Pectineus – Adductors – Gluteals – Hamstrings