Hip Examination DR. (PROF.) ANIL ARORA MS (Ortho) DNB (Ortho) Dip SIROT (USA) FAPOA (Korea), FIGOF (Germany), FJOA (Japan) Commonwealth Fellow Joint Replacement (Royal National Orthopaedic Hospital, London, UK) Senior Knee and Hip Replacement Surgeon Associate Director Department of Orthopaedics and Joint Replacement Max Superspeciality Hospital, Patparganj, Delhi (India) Email: [email protected] Background – Skeletal Anatomy Background – Hip Flexors Hip flexors • Ilio-psoas • Accessory M. Background – Hip Extensors: • Gluteus Max • Hamstrings Abductors: • Medius, Minimus Adductors: • Brevis, longus and magnus Hip Examination • Introduce yourself • Take Consent for Examination • Expose the patient Introduction Always remember • Inspection • Palpation • Movements • Measurements • Special tests Inspection Scan patient from head to toe Inspection Pre - requisites • Flat bed / couch • Adequate exposure • Comfortable painless position Standing- from front • Level of shoulders • Trunk • ASIS level, Pelvic Tilt • Iliac fossae • Groin fold, Scarpa’s • Attitude of limb as a whole • Knee, ankles, feet. Standing- from front • Scars • Sinuses • Fullness / swelling • Muscle wasting • Abnormal position / pulsations
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