Location of symptoms
Onset
Training techniques
Mechanism of injury
Prior medical conditions
Inspection
Hip Angulations
Angle of inclination (relationship between femoral head and femoral shaft)
Coxa valga (Increase in the angle – genu varum or laterally positioned patellae)
Coxa vara (Decrease in the angle – genu vara or medially positioned “squinting” patellae
Angle of torsion (measured through the use of radiographs)
Anteversion (greater than 15 degrees in the angle)
Retroversion (less than 15 degrees in the angle)
Medial Structures
Hip flexors
Lateral structures
Iliac crest (Hip Pointers)
Nelaton's line (ASIS to ischial tuberosity)
Leg length discrepancy (2cm)
Functional leg length discrepancy
True leg length discrepancy
Apparent leg length discrepancy
Palpation
Medial structures
Pubic bone
Adductor muscle group
Anterior structures
Anterior superior iliac spine
Anterior inferior iliac spine
Sartorius
Rectus femoris
Lateral structures
Iliac crest
Greater trochanter
Gluteus medius
Tredelenburg's Test
Tensor fasciae latae
Trochanteric bursa
Posterior structures
Median sacral crests
Posterior superior iliac spine
Ischial tuberosity
Gluteus maximus
Hamstring muscles
Ischial bursa
Sciatic nerve
Range of Motion Tests
AROM/PROM/RROM
Flexion
Iliopsoas/Rectus femoris/Sartorius
Extension
Hamstrings group/Gluteus maximus
Adduction & Abduction
Internal & external rotation
Thomas Test for Tightness of the Hip Flexors
Tredelenburg's Test (Insufficiency of gluteus medius to support torso in erect position)
Ligamentous testing
Capsular testing
Flexion/Extension/Internal rotation/External rotation
Neurologic Tests
Sciatic nerve compression
Lower quarter screen
Special Tests
Muscle weakness or tightness
Trendelenburg test
Thomas Test
Degenerative hip changes
Hip scouring (obsteochondral defectes, arthritis)
Piriformis syndrome