Orthopaedics  |  Osteo Hip Pathway - Examinaton


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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