Title: Bone Wizardry / OMM Mastery / 18.Special Tests / VI.Hips
Tags: #BW_OMM::Content::Diagnosis #BW_OMM::Region::Lower_Extremity #BW_OMM::Type::Cloze BoneWizardry bonewizardry-free omm omt topic::hips
On every note of this deck, unless a note says otherwise:
Review Links: - Bone Wizardry lower extremity
- Practice: Hip Special Tests QBank
Show outside sources
- AAFP hip evaluation
- PMC femoroacetabular impingement exam
- MET for pelvic dysfunction

Q: Ober's Test detects a tight [...] and [...].
A: tensor fascia lata; iliotibial band
Q: What test is being described? The patient lies on the side opposite the iliotibial band being tested. The physician stands behind the patient and flexes the knee on the side being tested to 90°, abducts the hip as far as possible, and slightly extends the hip while stabilizing the pelvis to keep the patient from rolling. The physician slowly allows the thigh to fall to the table.
[...]
A: Ober's test
Q: What indicates a positive Ober's Test?
The [...] remains in the [...] position.
A: thigh; abducted
Comment 2: Slight hip extension is necessary to ensure that the iliotibial band passes directly over the greater trochanter.
Comment 3: This indicates a tight iliotibial band.
Topic: Hips
Bone Wizardry Lock: Ober's removes active abduction so only passive ITB length determines whether the thigh can drop back to neutral. If the thigh stays elevated when you release it, the ITB will not allow passive adduction.

Q: Patrick test is also known as [...].
A: FABER test
Q: Patrick/FABER test is used to assess pathology of the [...] and [...] joint.
A: SI; hip
Q: What test is being described? The patient's hip is flexed, abducted, and externally rotated into a figure-4 position. The physician then places one hand on the contralateral ASIS and the other hand on the knee of the testing leg. Pressure is placed downward on both joints.
[...]
A: Patrick/FABER test
Q: What indicates a positive Patrick/FABER test?
[...]
A: Pain in figure-4 or pain with pressure
Comment: The term FABER indicates the positioning of the hip being tested: Flexion, ABduction, External Rotation, Then Extension
Comment 4: If pain occurs when in the figure-4 position, this indicates hip joint pathology. If pain is accentuated by pressure then this indicates arthritic changes in the hip or SI joint.
Topic: Hips
Bone Wizardry Lock: Pain in the figure-4 position alone points toward hip joint pathology. Pain that increases with downward pressure on the knee implicates the SI joint. One test, two possible sources.

Q: The Thomas test assesses for [...] contracture of the hip.
A: psoas/flexion
Q: What test is being described? The patient lies supine and the physician checks for exaggerated lumbar lordosis. The physician flexes one hip so that knee and anterior thigh touches the patient's abdomen.
[...]
A: Thomas Test
Q: What indicates a positive Thomas Test?
[...]
A: Opposite leg will lift off table
Topic: Hips
Bone Wizardry Lock: The Thomas test unmasks psoas shortening that lumbar lordosis was compensating for. Flexing one hip flattens the lumbar curve, and the opposite leg lifts if the psoas on that side cannot fully lengthen.

Q: [...] places the hip in flexion, abduction, and external rotation to screen hip or SI pathology.
A: FABER
Topic: Hips
Bone Wizardry Lock: The acronym gives the motion. Pain location gives the interpretation.

Q: [...] uses flexion, adduction, and internal rotation to provoke anterior hip pathology.
A: FADIR
Topic: Hips
Bone Wizardry Lock: Do not confuse FABER and FADIR. Abduction/external versus adduction/internal is the split.

Q: A Trendelenburg gait points to weak [...].
A: stance-side hip abductors
Topic: Hips
Bone Wizardry Lock: Pelvic drop names the side that failed to hold the pelvis level.