These older clinical skills videos are being retired, but rather than delete them, I decided to archive them here
The hip examination is often the most frequently performed medical examinations and is essential to master for the orthopaedics block at medical school
The orthopaedic clinical skills have a departure from the "standard" approach of inspection, palpation, percussion, and auscultation, instead opting for "look, feel move"
As well as the standard examination of the joint, preparation for medical OSCE's should also include revision of Thomas test for fixed flexion deformity of the hip and Trendelenburg test, looking for the dysfunction of the hip caused by weakness to the gluteus medius and minimus
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Watch further orthopaedic examinations for your OSCE revision:
The Spine Examination:
https://youtu.be/pJxMHa6SCgU
Knee Examination
https://youtu.be/oyKH4EYfJDM
Shoulder Examination
https://youtu.be/DpBiXTVNadA
#HipExamination #ClinicalSkills #DrGill #Orthopaedics
Some people watching these clinical examination videos may experience an ASMR effect
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/video-consultation/
00:00 - Introduction
00:21 - Patient Identification and Examination Overview
00:41 - Observation and Assessment of Leg Position
01:02 - Hip Strength and Symmetry Evaluation
02:09 - Checking for Hip Tenderness
02:25 - Hip Movements and Flexibility Tests
03:38 - Advanced Hip Mobility Assessment
04:08 - Evaluating Hip Movement in Relation to Legs
04:27 - Leg Measurement for Length Discrepancy
05:04 - Examination Conclusion
hello my name's Dr Gil I'd like to do an
examination of your hip St that okay
that's okay before we start can I
confirm your name and date of birth all
Landing 21st to 12 1991 excellent so to
start off we going to have you walking
up and down then we'll measure your legs
and we'll get you to do some movements
of your legs is that okay that's fine so
if I can just get you to walk up and
down for
me brilliant okay and if you could just
stand over headful all right now what
I'm going to do I'm going to put my
hands on your pelvis like so and if you
can raise this leg up for
me and
relax and if you can raise this leg up
for
me okay that looks fine thank
you now if we move on to the couch so
we're just going to look round now over
the pelvis and your hips to see if
there's any areas of discomfort or
tenderness do you have any pain anywhere
down there no okay so if you can life
back for
me so I'm just going to press over your
pelvis like so
any problems with that no and any pains
or discomfort there no or there no okay
we're just going to measure the length
of your hips now to start off with so
I'm just going to get get the tape
measure and start off from
there all way down I want do the same
again on this
side okay so they're the same and if you
can just show me our
umbilicus I the same again
that's fine okay thank you I'm just
going to put my hand at the low of your
back okay and if you could raise your
knee up to here for me okay that's fine
hand down again and we'll do the same
again on this side raise up okay that's
great thank you right the next thing if
you could raise this leg up as high as
you can for me any problems with that no
okay and down again and we'll do the
same again raise this leg up for me and
all the way down again right and if you
take this leg out to the side for me and
back in and then across the leg as far
as you can to the other way brilliant
okay and relax for me and do the same
again with this leg as far as you can
and then all the way back across great
okay relax for me and want just push
push against my hands and push your legs
in that looks Grand now just raise that
leg up again for me that's fine and push
down to the bed same go on the side
raise his leg up and push down at the
bed great if just get you to lift this
leg up for me okay we're going to
go and any problems with that okay we'll
do the same again on this leg so you
lift it up for me and we'll turn it this
way and that way any problems with
either of those no okay that's great
thank
you
