Clinical Examination of the Hip Joint in Athletes
Authors: Domb BG, Brooks AG, Byrd JW
DOI: 10.1123/jsr.18.1.3
Purpose
To provide a detailed overview of clinical hip examination techniques focused on identifying intra- and extra-articular pathologies in athletes presenting with hip pain.
Methods
Narrative review of hip anatomy, biomechanics, and a systematic approach to the clinical hip exam including history, inspection, palpation, range of motion, strength testing, and provocative maneuvers.
Key Findings
- Hip pathology often mimics lumbar spine or pelvic disorders, complicating diagnosis.
- Specific exam maneuvers such as FADIR, FABER, and resisted straight leg raise help isolate intra-articular sources.
- A structured, comprehensive exam guides appropriate imaging, diagnosis, and referral.
Conclusion
A thorough, systematic hip exam improves diagnostic accuracy for conditions such as labral tears, femoroacetabular impingement, and extra-articular syndromes in athletes.
What Does This Mean for Providers?
Incorporate a systematic hip exam protocol for athletes presenting with hip pain to differentiate pathologies accurately, enabling timely referral and targeted management strategies.