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Advances in Hip Arthroscopy
Published in K. Mohan Iyer, Hip Joint in Adults: Advances and Developments, 2018
The history followed by the physical examination of the hip is the key for evaluation of patients presenting with hip pain. A comprehensive assessment of the hip and the surrounding structures includes assessment of osteochondral, capsulolabral, musculotendinous and neurovascular structures. The hip examination should be performed in a systematic and orderly approach, with clear understanding of the principles of each test used. The findings during the examination will provide direction towards the special tests and other areas to be examined in detail. The general principle of orthopaedic assessment ‘look, feel, move’ and special tests could be followed; also a hip examination should include assessment of the knee, lumbar spine and pelvis, including the opposite hip joint. For a sleeker and comprehensive examination, all the relevant inspection, palpation, movements and special tests could be performed in the following sequence. The most efficient order of the examination would be starting the assessment with tests in the standing position followed by tests in the sitting position, then the supine, then the lateral and finally the prone position.
Personalized hip joint kinetics during deep squatting in young, athletic adults
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2020
Jan Van Houcke, Pavel E. Galibarov, Gilles Van Acker, Sigrid Fauconnier, Ellen Allaert, Tom Van Hoof, Diogo F. Almeida, Gunther Steenackers, Christophe Pattyn, Emmanuel A. Audenaert
Healthy subjects, aged 18 to 25 years old, were prospectively recruited in the local student community. Ethical clearance was obtained from the Ghent University Hospital’s ethical board and all subjects signed an informed consent prior to data collection. Inclusion criteria were male gender, practicing more than 3 hours of sports weekly and body mass index below 25 kg/m2. Subjects were excluded in case there was any history of specific hip symptoms that could affect squatting kinematics. Furthermore, all subjects underwent a bilateral clinical hip examination in order to detect potential intra-articular hip pathology. Two subjects were not included because they reported pain during the FADIR test (Martin and Sekiya 2008; Reiman et al. 2015) or had a difference in knee to table distance between both hips of more than 5 cm during the FABER test (Philippon et al. 2007). A total number of 35 asymptomatic subjects was included. Demographic and anthropometric variables were documented in Table 1.