An orthopaedic overview

HISTORYHISTORY Chief Complaint:Chief Complaint: Mechanism of injury:Mechanism of injury: Duration:Duration: Location:Location: LateralLateral AnteriorAnterior OtherOther Radiation:Radiation: GroinGroin Buttocks ThighButtocks Thigh

OtherOther Severity when most severe: (0 to 10)Severity when most severe: (0 to 10) Catching:Catching: When does pain occur? (rest; sitting; walk; run; stairs When does pain occur? (rest; sitting; walk; run; stairs

up/down; uneven ground; in/out car; during activity; up/down; uneven ground; in/out car; during activity; after activity; morning; afternoon; night; other):after activity; morning; afternoon; night; other):

Relieving Factors:Relieving Factors: Treatment to date:Treatment to date: Past history of knee injury or related hx:Past history of knee injury or related hx: Other medical history:Other medical history: Medication:Medication: Allergies:Allergies:

““LOOK, FEEL, MOVE”LOOK, FEEL, MOVE”

StandingStanding: Alignment: Alignment rotation of rotation of femur, iliac crest heightfemur, iliac crest height

WalkingWalking: Antalgic favours: Right: Antalgic favours: Rightor Leftor Left

TrendelenburgTrendelenburg PWBPWB NWBNWB AIDS: crutches/cane/wheelchair AIDS: crutches/cane/wheelchair

Lying: Lying: SwellingSwellingMuscle wastingMuscle wastingFlexion deformityFlexion deformity PositionPositionLeg length discrepancy Leg length discrepancy

Palpate points of maximal tendernessPalpate points of maximal tenderness: : Bones: ASIS, Greater trochanter and Bones: ASIS, Greater trochanter and

bursa, Pubic symphysis, Ischial bursa, Pubic symphysis, Ischial tuberosity (bursa and hamstring tuberosity (bursa and hamstring attachment), SI jointsattachment), SI joints

Muscles & Tendons: Adductors, IT Muscles & Tendons: Adductors, IT band (TFL), gluteus band (TFL), gluteus minimus/maximus, piriformis, minimus/maximus, piriformis, Hamstring Hamstring

Hip Range of Motion: Hip Range of Motion: ActiveActive Passive Passive Resisted Resisted

Flexion: (~120°)Flexion: (~120°) Extension: (~20-30°)Extension: (~20-30°) Abduction: (~45-50°)Abduction: (~45-50°) Adduction: (~20°)Adduction: (~20°) Internal rotation: (~35°)Internal rotation: (~35°) External rotation: (~45°)External rotation: (~45°)

Drehmann SignDrehmann Sign FAI testing: Rt: pos/neg Lt: pos/negFAI testing: Rt: pos/neg Lt: pos/neg Trendelenburg testTrendelenburg test Rt: pos/neg Rt: pos/neg

Lt: pos/negLt: pos/neg Thomas test (flexion contracture/ITB Thomas test (flexion contracture/ITB

tightness): Rt: pos/neg tightness): Rt: pos/neg Lt: Lt: pos/negpos/neg

Ober testOber test FABER: NegFABER: Neg Pain: hipPain: hip back back Functional tests: HopFunctional tests: Hop

External rotation on hip flexion = OA

Back ROM: Back ROM: FlexionFlexion ExtensionExtension Lateral Lateral

flexionflexion Rotation Rotation

Sacro-iliac Kinetic TestSacro-iliac Kinetic Test

Leg Lengths:Leg Lengths: Rt_____cm.Rt_____cm.Lt_____cm.Lt_____cm.