The Hip Exam Bookmark ShareExamination of the hips is performed to identify and localise pathology affecting the bones, joints or soft tissues associated with the hip.***Positioning: Patient standing then supineThe PatientAround the RoomMobility devices, sling, brace, etcGeneral FeaturesAge, gender, general comfort, scarsLookPatient standing, with supportAssistance DevicesStick, brace, sling, castSwellingOver muscles, bones or jointsDeformitiesFracture, dislocation, massScarsHip replacement, internal fixation, otherMusclesWasting, spasm, fasciculationPostureStanding, sitting, squattingGaitCadence, rhythm, symmetryLeg LengthTrue (ASIS → medial malleolus) and apparentFeelPatient standingBony LandmarksGreater trochanter, ASIS, PSIS, ischiumMusclesMuscle bulk, tenderness, wasting, spasmHerniaeInguinal or femoralMovePatient supineActive → PassiveAsk before stressing painful jointsFlexionAnterior movement120°ExtensionPosterior movement15°AdductionMedial movement20°AbductionLateral movement40°Internal RotationFlex hip + knee, rotate hip inwardly35°External RotationFlex hip + knee, rotate hip outwardly35°Special TestsTrendelenburg TestStand on one foot with opposite hip raised - look for hip dropLog Roll TestSupine, roll thigh internally and externallyThomas TestPatient supine, bring one knee to chestStraight Leg RaiseSupine, passively flex hip with leg straightOn this page: The PatientLookFeelMoveSpecial Tests