Skip to main content

Physical Examination of the Hip and Pelvis

  • Reference work entry
  • First Online:
Book cover Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

The clinical examination of the hip is a five-layer comprehensive assessment of the hip joint. In order to appreciate this achievement of symphonic function, it is important to understand the balance and interrelationship that each layer has upon the other in both a static and dynamic fashion. Optimally, the hip will be recognized early as the source of the complaint which is dependent upon a consistent method of interpreting the history and clinical examination of the hip. The standardized physical examination produces a fixed background, on which to produce the shadow of hip pathology and allowing for a five-layer comprehensive diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 599.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 799.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Draovitch P, Edelstein J, Kelly BT. The layer concept: utilization in determining the pain generators, pathology and how structure determines treatment. Curr Rev Musculoskelet Med. 2012;5:1–8.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Martin HD, Savage A, Braly BA, Palmer IJ, Beall DP, Kelly B. The function of the hip capsular ligaments: a quantitative report. Arthroscopy. 2008;24:188–95.

    Article  PubMed  Google Scholar 

  3. Martin HD, Hatem M, Kivlan BR, Martin RL. The function of the ligamentum teres in limiting hip rotation. Arthroscopy. 2014 (in review).

    Google Scholar 

  4. Bedi A, Dolan M, Leunig M, Kelly BT. Static and dynamic mechanical causes of hip pain. Arthroscopy. 2011;27:235–51.

    Article  PubMed  Google Scholar 

  5. Birmingham PM, Kelly BT, Jacobs R, McGrady L, Wang M. The effect of dynamic femoroacetabular impingement on pubic symphysis motion: a cadaveric study. Am J Sports Med. 2012;40:1113–8.

    Article  PubMed  Google Scholar 

  6. Hammoud S, Bedi A, Magennis E, Meyers WC, Kelly BT. High incidence of athletic pubalgia symptoms in professional athletes with symptomatic femoroacetabular impingement. Arthroscopy. 2012;28(10):1388–95.

    Article  PubMed  Google Scholar 

  7. Verrall GM, Slavotinek JP, Barnes PG, Esterman A, Oakeshott RD, Spriggins AJ. Hip joint range of motion restriction precedes athletic chronic groin injury. J Sci Med Sport. 2007;10:463–6.

    Article  PubMed  Google Scholar 

  8. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther. 2010;40:42–51.

    Article  PubMed  Google Scholar 

  9. DeAngelis NA, Busconi BD. Assessment and differential diagnosis of the painful hip. Clin Orthop Relat Res. 2003;406(1):11–8.

    Article  PubMed  Google Scholar 

  10. Kujala UM, Kaprio J, Sarna S. Osteoarthritis of weight bearing joints of lower limbs in former elite male athletes. Br Med J. 1994;308:231–4.

    Article  CAS  Google Scholar 

  11. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51:737–55.

    CAS  PubMed  Google Scholar 

  12. Byrd JW, Jones KS. Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy. 2000;16:578–87.

    Article  CAS  PubMed  Google Scholar 

  13. Martin RL, Mohtadi NG, Safran MR, Leunig M, Martin HD, McCarthy J, Guanche CA, Kelly BT, Byrd JW, Clohisy JC, Philippon MJ, Sekiya JK. Differences in physician and patient ratings of items used to assess hip disorders. Am J Sports Med. 2009;37:1508–12.

    Article  PubMed  Google Scholar 

  14. Mohtadi NG, Griffin DR, Pedersen ME, Chan D, Safran MR, Parsons N, Sekiya JK, Kelly BT, Werle JR, Leunig M, McCarthy JC, Martin HD, Byrd JW, Philippon MJ, Martin RL, Guanche CA, Clohisy JC, Sampson TG, Kocher MS, Larson CM. The development and validation of a self-administered quality-of-life outcome measure for young, active patients with symptomatic hip disease: the International Hip Outcome Tool (iHOT-33). Arthroscopy. 2012;28:595–605. quiz 606–510 e591.

    Article  PubMed  Google Scholar 

  15. Griffin DR, Parsons N, Mohtadi NG, Safran MR. A short version of the International Hip Outcome Tool (iHOT-12) for use in routine clinical practice. Arthroscopy. 2012;28:611–6. quiz 616–618.

    Article  PubMed  Google Scholar 

  16. Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83.

    Article  PubMed  Google Scholar 

  17. Ware Jr J, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33.

    Article  PubMed  Google Scholar 

  18. Clohisy JC, Keeney JA, Schoenecker PL. Preliminary assessment and treatment guidelines for hip disorders in young adults. Clin Orthop Relat Res. 2005;441:168–79.

    Article  PubMed  Google Scholar 

  19. Martin HD, Kelly BT, Leunig M, Philippon MJ, Clohisy JC, Martin RL, Sekiya JK, Pietrobon R, Mohtadi NG, Sampson TG, Safran MR. The pattern and technique in the clinical evaluation of the adult hip: the common physical examination tests of hip specialists. Arthroscopy. 2010;26:161–72.

    Article  PubMed  Google Scholar 

  20. Martin HD, Palmer IJ. History and physical examination of the hip: the basics. Curr Rev Musculoskelet Med. 2013;6:219–25.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Cibere J, Thorne A, Bellamy N, Greidanus N, Chalmers A, Mahomed N, Shojania K, Kopec J, Esdaile JM. Reliability of the hip examination in osteoarthritis: effect of standardization. Arthritis Rheum. 2008;59:373–81.

    Article  PubMed  Google Scholar 

  22. Martin HD. Clinical examination of the hip. Operat Tech Orthop. 2005;15:177–81.

    Article  Google Scholar 

  23. Byrd JW. Operative hip arthroscopy. New York: Springer; 2005. p. 78–83.

    Book  Google Scholar 

  24. Perry J. Gait analysis normal and pathological function. Thorofare: SLACK; 1992.

    Google Scholar 

  25. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.

    PubMed  Google Scholar 

  26. McCarthy JC, Busconi BD, Owens BD. Assessment of the painful hip. In: McCarthy JC, editor. Early hip disorders. New York: Springer; 2003. p. 3–6.

    Chapter  Google Scholar 

  27. Philippon M, Zehms C, Briggs K, Manchester D, Kuppersmith D. Hip instability in the athlete. Operat Tech Sport Med. 2007;15:189–94.

    Article  Google Scholar 

  28. Martin RL, Palmer I, Martin HD. Ligamentum teres: a functional description and potential clinical relevance. Knee Surg Sports Traumatol Arthrosc. 2012;20:1209–14.

    Article  PubMed  Google Scholar 

  29. Audenaert EA, Peeters I, Vigneron L, Baelde N, Pattyn C. Hip morphological characteristics and range of internal rotation in femoroacetabular impingement. Am J Sports Med. 2012;40:1329–36.

    Article  PubMed  Google Scholar 

  30. Martin HD, Kivlan BR, Palmer IJ, Martin RL. Diagnostic accuracy of clinical tests for sciatic nerve entrapment in the gluteal region. Knee Surg Sports Traumatol Arthrosc. 2013; [Epub ahead of print].

    Google Scholar 

  31. Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS. Diagnostic validity of criteria for sacroiliac joint pain: a systematic review. J Pain. 2009. 10(4):354–68.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hal D. Martin .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this entry

Cite this entry

Martin, H.D., Palmer, I.J., Hatem, M.A. (2015). Physical Examination of the Hip and Pelvis. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_115

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6965-0_115

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6964-3

  • Online ISBN: 978-1-4614-6965-0

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics