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The Hip and Pelvis in Sports Medicine and Primary Care pp 9–36Cite as

Physical Examination of the Hip and Pelvis

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Abstract

Hip and pelvis injuries are common in both sports medicine and primary care practices. The hip and pelvis are often viewed as a “black box” because of the complex anatomy and overlapping pain referral patterns. Use of a systemic physical examination will assist the clinician in demystifying this region of the body and narrowing the differential diagnosis. A thorough lower extremity neurologic examination should be included in the evaluation of the hip and pelvis. Special tests are used in concert to gather a more complete picture of the patient’s biomechanical deficits.

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References

  1. Scopp, M. The assessment of athletic hip injury. Clin Sports Med 2001; 20(4):647–659.

    Article  CAS  PubMed  Google Scholar 

  2. Hurwitz DE, Foucher KC, Andriacchi TP. A new parametric approach for modeling hip forces during gait. J Biomechanics 2003; 36(1):113–119.

    Article  Google Scholar 

  3. Jenkins DB. The bony pelvis, femur, and hip joint. In: Hollinshead’s Functional Anatomy of the Limbs and Back, Jenkins DB, ed. Philadelphia PA: W.B. Saunders; 1998:239–248.

    Google Scholar 

  4. Adkins SB III, Figler RA. Hip pain in athletes. Am Fam Physician 2000; 61(7):2109–2118.

    PubMed  Google Scholar 

  5. Metzmaker JN, Pappas AM. Avulsion fractures in the pelvis. Am J Sports Med 1985;13(5):349–358.

    Article  CAS  PubMed  Google Scholar 

  6. Vijlbrief AS, Bruijnzeels MA, vand der Wouden JC, van Suijelkom-Smit LW. Incidence and management of transient synovitis of the hip: a study in Dutch general practice. Br J Gen Pract 1992; 42(363): 426–428.

    CAS  PubMed  Google Scholar 

  7. Tolat V, Carty H, Klenerman L, Hart CA. Evidence for a viral aetiology of transient synovitis of the hip. J Bone Joint Surg (Br) 1993; 75(6):973–974.

    CAS  Google Scholar 

  8. Hage WD, Aboulafia AJ, Aboulafia DM. Orthopedic management of metastatic disease: incidence, location, and diagnostic evaluation of metastatic bone disease. Orthop Clin North Am 2000; 31(4):515–528.

    Article  CAS  PubMed  Google Scholar 

  9. Geraci MC Jr, Brown W. Evidence-based treatment of hip and pelvic injuries in runners. Phys Med Clin Rehabil Clin North Am 2005; 16(3):711–747.

    Google Scholar 

  10. Magee DJ. Pelvis. In: Magee DJ, ed. Orthopedic Physical Assessment, 3rd ed. Philadelphia PA: WB Saunders; 1997.

    Google Scholar 

  11. Allen WC, Cope R. Coxa Saltans: The snapping hip syndrome. J Am Acad Orthop Surg 1995; 3:303.

    PubMed  Google Scholar 

  12. Hardcastle P, Nade S. The significance of the Trendelenburg test. J Bone Joint Surg (Br) 1985; 67(5):741–746.

    CAS  Google Scholar 

  13. Broadhurst N, Bond M. Pain provocation tests for the assessment of sacroiliac dysfunction. J Spinal Disord 1998; 11:341–345.

    Article  CAS  PubMed  Google Scholar 

  14. Ross MD, Nordeen MH, Barido M. Test–retest reliability of Patrick’s hip range of motion test in healthy college-aged men. J Strength Condition Res 2003; 17(1):156–161.

    Google Scholar 

  15. Gajdosik RL, Sandler MM, Marr HL. Influence of knee positions and gender on the Ober test for length of the iliotibial band. Clin Biomech 2003;18(1):77–79.

    Article  Google Scholar 

  16. Fishman L, Zybert P. Electrophysiologic evidence of piriformis syndrome. Arch Phys Med Rehabil 1992;73:359–364.

    Article  CAS  PubMed  Google Scholar 

  17. Seidenberg PH, Childress MA. Evaluating hip pain in athletes. J Musculoskel Med 2005 May; 22(5):246–254.

    Google Scholar 

  18. McGrory BJ. Stinchfield resisted hip flexion test. Hosp Phys 1999; 35(9):41–42.

    Google Scholar 

  19. Vroomen PC, de Krom MC, Knotterus JA. Diagnostic value of history and physical examination in patients with sciatica due to disc herniation; a systematic review. J Neurol 1999;246(10):899–906.

    Article  CAS  PubMed  Google Scholar 

  20. Rhodes DW, Mansfield ER, Bishop PA, Smith JF. The validity of the prone leg check as an estimate of standing leg length inequality measured by X-ray. J Manipulative Physiol Ther 1995;18(6):343–346.

    CAS  PubMed  Google Scholar 

  21. Riddle D, Freburger J. Evaluation of the presence of sacroiliac joint dysfunction using a combination of tests: a multicenter intertester reliability study. Phys Ther 2002; 82:772–781.

    PubMed  Google Scholar 

  22. O’Haire C, Gibbons P. Inter-examiner and intraexaminer agreement for assessing sacroiliac anatomical landmarks using palpation and observation: pilot study. Manual Ther 2000; 5:13–20.

    Article  Google Scholar 

  23. Bemis T, Caniel M. Validation of the long sitting test on subjects with iliosacral dysfunction. J Orthop Sports Phys Ther 1987; 8:336–345.

    CAS  PubMed  Google Scholar 

  24. Touissaint R, Gawlik C, Rehder U, Ruther W. Sacroiliac dysfunction in construction workers. J Manipulative Physiol Ther 1999; 22:134–139.

    Article  Google Scholar 

  25. Touissaint R, Gawlik C, Rehder U, Ruther W. Sacroiliac joint diagnosis in the Hamburg Construction Workers study. J Manipulative Physiol Ther 1999; 22:139–143.

    Article  Google Scholar 

  26. Vincent-Smith B, Gibbons P. Inter-examiner and intra-examiner reliability of the standing flexion test. Manual Ther 1999;4:87–93.

    Article  CAS  Google Scholar 

  27. Potter N, Rothstein J. Intertester reliability for selected clinical tests of the sacroiliac joint. Phys Ther 1985; 65:1671–1675.

    CAS  PubMed  Google Scholar 

  28. Flynn T, Fritz J, Whitman J, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal manipulation. Spine 2002; 27:2835–2843.

    Article  PubMed  Google Scholar 

  29. Dreyfuss P, Michaelen M, Pauza K, et al. The value of the medical history and physical examination in diagnosing sacroiliac joint pain. Spine 1996; 21:2594–2602.

    Article  CAS  PubMed  Google Scholar 

  30. van der Wuff P, Hagmeijer R, Meyne W. Clinical tests of the sacroiliac joint. Manual Ther 2000;5:30–36.

    Google Scholar 

  31. Nuccion S, Hunter D, Finerman G. Hip and pelvis. In: DeLee J, Drez D, Miller MD, (eds). DeLee and Drez’s Orthopaedic Sports Medicine, 2nd ed. Philadelphia PA: Saunders; 2003.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Family Medicine, DeWitt Army Community Hospital, Ft. Belvoir, VA, USA

    Devin P. McFadden MD (Family Medicine Resident)

  2. King Medical Care Inc., Bloomsburg, PA, USA

    Peter H. Seidenberg MD, FAAFP (President and Co-founder)

Authors
  1. Devin P. McFadden MD
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  2. Peter H. Seidenberg MD, FAAFP
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Editors and Affiliations

  1. West Lincoln St. 301, Belleville, 62220-1901, USA

    Peter Seidenberg

  2. Integrity Dr. 4722, Millington, 38054-5057, USA

    Jimmy D. Bowen

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McFadden, D.P., Seidenberg, P.H. (2010). Physical Examination of the Hip and Pelvis. In: Seidenberg, P., Bowen, J. (eds) The Hip and Pelvis in Sports Medicine and Primary Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5788-7_2

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  • DOI: https://doi.org/10.1007/978-1-4419-5788-7_2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-5787-0

  • Online ISBN: 978-1-4419-5788-7

  • eBook Packages: MedicineMedicine (R0)

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