Clinical Examination of the Athletic Hip
Section snippets
Standing Examination
The initial element in the structured evaluation (Table 1) should be the general body habitus, principally gait and alignment. Because of the hip's role in supporting body weight, hip pathology can often be identified in gait abnormalities [1]. An antalgic gait (one that involves a self-protecting limp caused by pain, characterized by a shortened stance phase on the painful side so as to minimize the duration of weight bearing) is an indication of hip, pelvis, or low back pain [33], [34]. The
Summary
The 11-point athletic hip examination can be effective in screening and evaluating patients who have hip pain, and can be helpful to direct further diagnostic studies (Table 9). A marcaine injection test may be necessary to distinguish between hip and back pathology. This and other auxiliary clinical tests may be helpful in further evaluation of the hip (Table 10). The majority of examinations that compose the 11-point athletic hip examination were developed over many years, before the
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High-Level Athletes With Borderline Hip Dysplasia Achieve Favorable Outcomes and Return to Sport Rates Following Primary Hip Arthroscopy: Minimum 5-Year Outcomes Comparison to a Propensity-Matched Control Group
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2022, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Hips were evaluated with anterior, lateral, and posterior impingement tests, as well as for the presence of painful internal snapping with the hip flexed, abducted, and externally rotated. Patients were also assessed for microinstability with anterior apprehension, abduction-extension-external rotation, and prone external rotation tests.7–9 Radiographic imaging, including the standing and supine anteroposterior pelvis, modified 45° Dunn, and false-profile view, was acquired and reviewed before surgery.10–13
Postoperative Alpha Angle Is Predictive of Return to Sport in Athletes Undergoing Hip Arthroscopy for Femoroacetabular Impingement
2022, Arthroscopy - Journal of Arthroscopic and Related SurgeryEvaluation of Athletes with Hip Pain
2021, Clinics in Sports MedicineCitation Excerpt :Importantly, the clinician should always perform a neurovascular assessment of the lower extremities, which can be done with the patient in the seated position. This assessment includes bilateral lower extremity pulses, sensation, motor strength, and deep tendon reflexes.22 Side-to-side variations in the neurovascular assessment should be documented and further work-up pursued, as indicated.
Hip Pathology Evaluation and Imaging
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