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

Erythema/skin discoloration

Evidence of inflammation


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