Physical Examination of the Hip

Area of Science:

• Orthopedics
• Sports Medicine
• Anatomy

Background:

• The hip and pelvis are complex anatomical regions frequently affected by pain and injury in athletes.
• Overlapping pain referral patterns complicate the differential diagnosis of hip conditions.

Purpose of the Study:

• To outline a systematic clinical examination approach for the hip and pelvis.
• To detail a comprehensive physical evaluation addressing the primary pain generators of the hip.

Main Methods:

• A layered examination approach, from deep to superficial, targeting osteochondral, capsulolabral, musculotendinous, and neurovascular elements.
• Includes standing examination, gait analysis, and assessments in seated, supine, lateral, and prone positions.

Main Results:

• A systematic, layered physical examination aids in differentiating hip-specific pathologies from other conditions.
• Facilitates targeted diagnostic testing and informs effective treatment strategies.

Conclusions:

• A thorough understanding of hip and pelvic anatomy is crucial for accurate diagnosis.
• A systematic physical examination is essential for managing hip pain and injuries in the athletic population.