Escolar Documentos
Profissional Documentos
Cultura Documentos
ANATOMY AND
SPECIAL TEST
By: Lyka, Dan, Angel,
Dom, Mia, Mica,
Maridel, Guinet, Wesley,
Ralph
ANATOMY
HIP
ANATOMY
Resting
position: 30
flxion, 30 abduction,
slight lateral rotation
Closed packed
position: Full
extension, medial
rotation, and abduction
Capsular pattern:
Flexion, abduction,
medial rotation (but in
some cases, medial
rotation is limited)
HIP
ANATOMY
ARTICULATION
HIP
ANATOMY
In addition, the hip, like the
HIP
ANATOMY
The acetabulum is formed by
HIP
ANATOMY
TYPE:
CAPSULE:
HIP
ANATOMY
HIP
LIGAMENTS:
ANATOMY
HIP
LIGAMENTS:
ANATOMY
Under low loads, the joint surfaces
HIP
ANATOMY
Forces on the Hip
Standing: 0.3 times the body
weight
Standing on one limb: 2.4 to 2.6
times the body weight
Walking: 1.3 to 5.8 times the body
weight
Walking up stairs: 3 times the body
weight
Running: 4.5 + times the body
weight
HIP
ANATOMY
SYNOVIAL MEMBRANE :
HIP
ANATOMY
HIP
Muscles Acting
1. Psoas
2. Iliacus
3. Rectus femoris
4. Sartorius
5. Tensor fasciae latae
6. Pectineus
7. Adductor longus
8. Adductor brevis
9. Gracilis
10. Gluteus medius
(anterior fibers)
Innervation
L1L3
Femoral
Femoral
Femoral
Superior gluteal
Femoral
Obturator
Obturator
Obturator
Superior gluteal
ANATOMY
HIP
Muscles Acting
1. Biceps femoris (long
head)
2. Semimembranosus
3. Semitendinosus
4. Gluteus maximus
5. Gluteus medius
(middle and posterior
part)
6. Adductor magnus
(ischiocondylar part
Innervation
Sciatic
Sciatic
Sciatic
Inferior gluteal
Superior gluteal
Sciatic
ANATOMY
HIP
Muscles Acting
1. Tensor fasciae latae
2. Gluteus minimus
3. Gluteus medius
4. Gluteus maximus
5. Sartorius
6. Piriformis
7. Rectus femoris
Innervation
Superior gluteal
Superior gluteal
Superior gluteal
Inferior gluteal
Femoral
L5, S1, S2
Femoral
ANATOMY
HIP
Muscles Acting
1. Adductor longus
2. Adductor brevis
3. Adductor magnus
(posterior head)
4. Gluteus medius
(anterior part)
5. Gluteus minimus
(anterior part)
6. Tensor fasciae latae
7. Pectineus
8. Gracilis
Innervation
Obturator
Obturator
Obturator and Sciatic
Superior gluteal
Superior gluteal
Superior gluteal
Femoral
Obturator
ANATOMY
HIP
Muscles Acting
1. Gluteus maximus
2. Obturator internus
3. Obturator externus
4. Quadratus femoris
5. Piriformis
6. Gemellus superior
7. Gemellus inferior
8. Sartorius
9. Gluteus medius
(posterior part)
10. Gluteus minimus
(posterior part)
11. Biceps femoris (long
head)
Innervation
Inferior gluteal
N. to obturator internu
Obturator
N. to quadratus femoris
L5, S1S2
N. to obturator internus
N. to quadratus femoris
Femoral
Superior gluteal
Superior gluteal
Sciatic
SPECIAL TEST
o Most tests are done primarily to confim a diagnosis or to
determine pathology and should not be used as stand
alone tests when considering a diagnosis.
o As with all special tests, if the test is positive, it is highly
suggestive that the problem exists, but if it is negative,
it does not necessarily rule out the problem.
o Therefore, special tests should not be taken in isolation
but should be used to support the history, observation,
and clinicalexamination
SPECIAL TEST
Tests for Hip Pathology
Bryants Triangle
HIP
SPECIAL TEST
Tests for Hip Pathology
Craigs Test
Patients Position:
Patient lies
prone with the knee flexed to
90.
HIP
SPECIAL TEST
Tests for Hip Pathology
HIP
SPECIAL TEST
Tests for Hip Pathology
Flexion-Adduction Test
HIP
SPECIAL TEST
Tests for Hip Pathology
Patients Position:
The
patient is in supine
Stimulus: The
examiner abducts the
hip to 30 and applies
an axial traction to the
leg which reduces
intra-articular
pressure.
Response: Relief of
pain indicates the pain
HIP
SPECIAL TEST
Tests for Hip Pathology
HIP
SPECIAL TEST
Tests for Hip Pathology
HIP
SPECIAL TEST
Tests for Hip Pathology
lies
supine on the bed with both hips
flexed.
STIMULUS: The examiner then
takes the good hip and extends it
from the flexed
position, fist with the hip in lateral
rotation, and then repeats the test
with the hip in medial rotation. The
nontest leg is kept in flexion. The
test is repeated with the affected
hip
HIP
SPECIAL TEST
Tests for Hip Pathology
HIP
SPECIAL TEST
Tests for Hip Pathology
Nlatons Line
HIP
SPECIAL TEST
HIP
PATIENTs POSITION:
Supine
STIMULUS:
the examiner places the
patients test leg so that
the foot of the test leg is
on top of the knee of the
opposite leg
The examiner then
slowly lowers the knee of
the test leg toward the
examining table.
SPECIAL TEST
HIP
RESPONSE:
SPECIAL TEST
HIP
Rotational Deformities
Rotational deformities can occur anywhere between the
SPECIAL TEST
HIP
Rotational Deformities
RESPONSE: If the patellae face up, out, and away from
SPECIAL TEST
HIP
SPECIAL TEST
HIP
Torque Test.
The patient
lies supine close to the edge of
the examining table with the
femur of the test leg extended
over
STIMULUS:
the edge of the table
PATIENTs POSITION:
The test leg is extended until the pelvis (i.e., the ASIS)
begins to move.
The examiner uses one hand to medially rotate the femur
to the end of range and the other hand to apply a slow
posterolateral pressure along the line of the neck of the
femur for 20 seconds to stress the capsular
ligaments