NUR1 239 Chapter Notes -Quadriceps Femoris Muscle, Kyphosis, Knee
12 Sep 2014
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Inspect hip joint together with the spine ( as patient stands) Note symmetrical levels of iliac crests, gluteal folds, and equal sized buttocks. A smooth equal gait reflects equal leg lengths and functional hip motion. Palpate hip joints; should feel stable and symmetrical, with no tenderness or crepitation. Raise each leg with knee extended= hip flexion of 90 degrees. Bend each knee up to the chest while keeping the other leg straight= hip flexion of 120 degrees, the opposite thigh should remain on the table. Flex knee and hip 90 degrees. (examiner stabilizes by holding the thigh with one hand and the ankle with the other hand). Swing the foot inward ( foot and thigh move in opposite directions)= internal rotation of 40 degrees, external rotation of 45 degrees. Swing leg laterally, then medially, with knee straight. Stabilize pelvis by pushing down on the opposite anterior superior iliac spine= abduction of 40-45 degrees, adduction of 20-30 degrees.
