Clinical Examination of the Hip Joint in Athletes

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 comprehensive overview of the clinical examination of the hip joint in athletes, focusing on diagnosis of intra-articular and extra-articular pathologies.

Methods

A narrative review of hip anatomy, biomechanics, and physical examination techniques was conducted. The authors outlined a structured approach to the hip exam, including history taking, inspection, palpation, range of motion testing, strength assessment, and special tests.

Key Findings

• Hip pathology can present similarly to lumbar spine or pelvic disorders, making accurate diagnosis challenging.
• Specific exam maneuvers (e.g., FADIR, FABER, resisted straight leg raise) are useful for identifying intra-articular hip pathology.
• A systematic exam can help differentiate between causes of athletic hip pain and guide appropriate imaging and referral.

Conclusion

A thorough and structured clinical exam is essential for evaluating athletes with hip pain and can improve diagnostic accuracy for conditions like labral tears, impingement, and extra-articular syndromes.

What This Means for Patients

Athletes with persistent hip pain benefit from a detailed and specific hip exam, which can lead to quicker, more accurate diagnosis and better-targeted treatment options.