Hip Exam
Hip Exam
Please assess the student performing a hip exam.
Student's Email:

GENERAL - Observe the student doing the following:

Washes hands
       
Introduces self and exam to patient
               
Appropriate draping of patient

Both legs should be exposed from the ASIS down. Ensure that the groin remains draped

               

INSPECTION - The student should comment on the following:

Patient's general appearance

Patient's posture, rotation of leg, in pain, well/unwell

               
Masses, scars, lesions

Ex: Evidence of trauma

               
Swelling
               
Erythema/skin discoloration

Evidence of inflammation

               
Atrophy/hypertrophy
               
Symmetry

Compares both sides for all of the above attributes

               
Gait inspection

Ex: Antalgic gait, Trendelenburg gait

               
Trendelenburg test
               

PALPATION - Observe the student performing the following manoeuvers:

Detection of a flexion contracture

Eliminate the lumbar lordosis, then flex the contralateral hip. Positive test - ipsilateral hip elevates

               
Leg length measurement

Measures true (from ASIS) and apparent leg length (from umbilicus)

               
Palpates landmarks

Includes ASIS, greater trochanter, trochanteric bursa, PSIS

               

RANGE OF MOTION - Observe the student performing the following manoeuvers:

Hip flexion

Active and passive. Normal - 120o

               
Hip abduction

Passive. Normal - 45o

               
Hip adduction

Passive. Normal - 30o

               
Hip internal rotation

Passive. Normal - 45o

               
Hip external rotation

Passive. Normal - 45o

               
Hip extension

Passive. Normal - 30o

               

GLOBAL RATING SCALES - Please rate the student on their overall performance:

Understands rational of manoeuvers and findings
                   
Organized approach
                   
Sensitivity toward patient concerns and comfort during the examination