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Hip exam | Peter Attia & Adam Cohen — Whalespan

Content›Video›Hip exam | Peter Attia & Ada…

Hip exam | Peter Attia & Adam Cohen

Peter Attia14m · 2023-07-31

Support Rate

62%

18 of 29 claims supported

Support rate

18 of 29 claims supported

18 supported11 partial / not

Claims from this content

21

✓Well SupportedTightness of the iliotibial band or lateral hip structures can be assessed by observing leg hang during the modified Thomas test.◐Partially SupportedPain from a strained hip flexor causes tenderness in the muscle, while joint pain may not.◐Partially SupportedPainful popping of the iliopsoas tendon during hip circumduction may indicate pathology of the tendon or hip instability.◐Partially SupportedChecking for pain during abdominal wall musculature tests can identify injuries where muscles attach to the pubic bone.◐Partially SupportedThe order of a physical examination should be adjusted based on the patient's history and initial findings.

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Attia walks back the clinic protocol: too aggressive for healthy adults

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A. Volkovreader

4h

Bookmarking — the dossier-vs-overview split is the right call. Most of the time I want overview; sometimes I want receipts.

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N. Park

2d

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◐Partially SupportedPain during hip abduction localized to the greater trochanter may indicate a gluteus medius/minimus tear or bursitis.

◐Partially SupportedThe FABER test assesses hip joint laxity or tightness by observing how far the knee flops down.

◐Partially SupportedThe FADIR test and the scour test can elicit pain and indicate a labral tear or femoroacetabular impingement.

◐Partially SupportedPushing on the greater trochanter to see if the ball can be pushed forward can indicate hip instability if it causes discomfort.

◐Partially SupportedChecking hamstring origin tenderness and quad tightness by bringing the heel to the butt in the prone position can help evaluate the spine and hip motion.

◐Partially SupportedFeeling the greater trochanter while rotating the hip can provide information about the hip's anatomy and normal version.

◐Partially SupportedTenderness over the greater trochanter during abduction testing can be normal and not indicative of pain.

◐Partially SupportedThe Stinchfield exam assesses the femoral acetabular joint by irritating it and applying pressure to see if it generates pain.

◐Partially SupportedChecking abductor strength by having the patient lift their leg against resistance is a sensitive test for abductor problems.

◐Partially SupportedWhen assessing hip engagement during a leg lift, the gluteus maximus engaging before the hamstring is a desirable pattern.

◐Partially SupportedThe examiner checks the spine and SI joint for pain when the patient is in a lateral position, and also assesses hip abductors.

◐Partially SupportedHip stiffness may be due to arthritis, tight flexor muscles, or instability.

◐Partially SupportedInstability in the hip joint is defined as symptomatic laxity.

◐Partially SupportedPosterior hip impingement may be indicated if adduction generates pain, and palpation of the sciatic notch is important to check for nerve or surrounding structure inflammation.

◐Partially SupportedTightness on the lateral aspect of the hip can be assessed by checking if the knee can come all the way down to the table.

◐Partially SupportedFlexion of the hip in a specific position can cause impingement in the anterior inferior iliac spine, potentially leading to pain.