Special Tests: Hip Joint Course

Special Tests: Hip Joint Course is organized by Brookbush Institute.

Course Description:
Special Tests Covered in this Lesson:
• Hip Pathology Tests (Hip impingement, Osteoarthritis, and Labral Tears)
   • FABER (Patrick's) Test
   • FADDIR Test
   • Impingement Provocation Test (Best Available)
• Abductor Weakness
   • Trendelenburg Sign & Single Leg Stance Test
• Red Flag
   • Sign of the Buttock

Hip osteoarthritis, hip impingement, and hip labral tears are among the most often diagnosed hip pathologies; however, more serious conditions do occur like muscle loss and the "sign of the buttock" (implication of intra-articular bleeding, infection, neoplasm, etc.). The hip pathology tests (hip impingement, osteoarthritis, and labral tear tests) are sensitive, but lack specificity, implying their utility to refine intervention selection is likely poor. The Trendelenburg Sign & Single Leg Stance Test may be observed during gait, but the tests themselves lack sensitivity. Further, hip muscle weakness may result from dysfunction of the lumbar spine, sacroiliac joint, or the hip joint; again implying these tests have poor specificity and limited utility in practice. The Sign of the Buttock is an important clinical Test, implying "red flag" conditions that should…

Behavioral Objectives
• List the "best" special tests for hip joint pathology
• Describe the action of each of the recommended tests
• Apply the group of tests to practice, and integrate the results with other exams to reach a diagnosis
• Explain why the "Sign of the Buttock" is an uncommon, but important sign
• Understand how specificity and sensitivity of each test impact the interpretation of results