Osteo Hip Pathway - Examinaton
- Look at the patient - note if patient pyrexial or unwell. Measure weight and BMI.
- Look at the patient's gait - note any limp or Trendellenburg gait (during the stance phase of walking, the weakened hip abductor muscles cause the pelvis to tilt downward on opposite side to lesion).
- Look at the skin overlying the joint - erythema, hot, sinus, scars?
- Look at the hip joint - note deformity and swelling.
- Look at the muscles - note muscle wasting and compare sides.
- Feel for site(s) of tenderness.
- Assess range of movement (active and passive and compare both hips):Measure both leg lengths (umbilicus to medial malleolus and anterior superior ileac spine to medial malleolus):
Examine the patient's lumbar spine, sacro-ileac joints and pelvis, knee. Note evidence of OA elsewhere and any referred pain:
- Hip flexion normally 110 to 120 degrees
- Hip abduction normally 30 to 50 degrees
- Hip adduction normally 30 degrees
- Hip external rotation normally 40 to 60 degrees
- Hip internal rotation normally 30 to 40 degrees
- Note fixed flexion deformity
- Examine the lower limb vascular system.
- Examine the lower limb neurological system.
Hip Examination for OSCE Review
Last updated : Friday, September 11, 2015
Next review date : Saturday, September 10,2016
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