🔥 OSTEOPATHY Hot Hip Tip
Hip OA often presents held in flexion and external rotation, and loses extension and internal rotation first.
Hip Tests
| Test | Assesses | Position | Positive Finding | Modification |
|---|---|---|---|---|
| FABER | Hip vs SI | Supine | Groin/SI pain | Pregnant: side-lying/seated. |
| FADIR | FAI / labrum | Supine | Anterior groin pain | Use side-lying if supine not tolerated. |
| Thomas | Iliopsoas tightness | Supine | Opposite leg lifts | Pregnant: avoid after 20 weeks. |
| Trendelenburg | Gluteus medius | Standing | Opposite pelvis drops | Geriatric: support patient. |
| Ober's | ITB/TFL tightness | Side-lying | Leg fails to adduct | Already side-lying friendly. |
| Piriformis | Piriformis syndrome | Side-lying/supine | Buttock/sciatic pain | Gentle in pregnancy/elderly. |
| Hip Traction | Joint pain relief | Supine | Relief with traction | Geriatric: gentle force. |
| Weber-Barstow | Leg length | Supine | Malleoli discrepancy | Can do seated comparison if needed. |
| Adductor/Inguinal | Adductor strain / hernia region | Supine | Groin pain | Pregnant: very gentle; consider pelvic girdle pain. |
🧒 Paediatric Hip Differentials
- DDH — Barlow/Ortolani in infants
- Perthes disease — age 4-10, limp, limited abduction/internal rotation
- SCFE — adolescent, hip/knee pain, obligate external rotation, urgent referral