Musculoskeletal System

{"ops":[{"insert":"Evaluation of the hip: log roll test"},{"insert":"\n","attributes":{"header":1}},{"insert":"The single most specific test for hip pain is the log roll test, which (as the name suggests) involves rolling the hip back and forth like a log.\n\nDoing this moves the femoral head in relation to the acetabulum and surrounding capsule, without placing stress on the surrounding myotendinous structures or nerves. As might be appreciated, a positive result is highly suspicious of hip joint pathology.\n"},{"insert":"Evaluation of the hip: FADIR and FABER tests"},{"insert":"\n","attributes":{"header":1}},{"insert":"The FADIR test is performed by asking the patient to flex his or her hip to 90 degrees, with maximal internal rotation. Subsequently, the examiner brings the leg into adduction, which elicits pain if there is an intra-articular pathology of the hip.\n\nIn the FABER test, the patient\u0027s leg is placed in flexion, abduction, and external rotation (hence the name), following which the examiner exerts pressure on the anterior superior iliac spine with one hand, and on the medial side of the patient\u0027s flexed knee with the other.\n\nPain elicited on the ipsilateral side suggests at a pathology of the hip joint; conversely, pain which is felt on the contralateral side favors disease involving the sacroiliac joint on the same side.\n"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.