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Examination

Assessment/association

Ely Test

Hip flexor contracture, rectus contracture

be helpful in isolating and assessing the gluteus medius, specifically for musculo-tendinous tears. If the affected leg in any position cannot adduct to the table, this constitutes a positive Ober's sign.

The last examination in the lateral position assesses the degree of FAI present. This series of examinations includes the FADDIR (flexion adduction internal rotation) test. When examining the hip with the patient in the lateral recumbent position, the examiner stands behind the patient with the examiner's arm beneath the patient's lower leg. The examiner holds the knee with the supporting hand while the opposite hand monitors the hip. The hand monitoring the hip should grasp the joint with the index finger anteriorly and the thumb posteriorly. Position the leg in FADDIR to assess impingement from the femoral neck, which may have caused an acetabular labral tear. Reproduction of the patient's pain with this maneuver is suggestive for anterior FAI. A lateral rim impingement can also be assessed by taking the leg from flexion to extension in continuous abduction, trying to reproduce the pain in order to identify impingement. The emphasis in lateral examination should be toward the primary area of complaint, and additional examinations should be performed as necessary.

Prone Examination

The prone position is optimal for identifying the precise location of pain related to the SI joint region (Table 8). The SI joints and surrounding region should be palpated in three areas: the infra SI region adjacent to the origin of the gluteus maximus, the supra SI location adjacent to the spinous process of L4-L5, and the SI joint location itself.

Table 9

Eleven-step examination of the adult athletic hip

Standing

1. Body habitus

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