Hip Examination - Orthopaedic Hip OSCE - Medicine Explained - Clinical Skills - Dr Gill
This Hip Exam Deep Dive looks at the details of the examination of a patient with Hip issues, highlighting what is being checked for during special tests and examination findings
In this video, we demonstrate how to perform a clinical examination of the hip for your medical school Clinical Skills OSCE. As orthopaedic exams are core skills when it comes to examining patients, students should assume that a hip assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, in a hip exam follow the approach of:
- Look
- Feel
- Move
HOWEVER, a hip examination OSCE station does not just involve pressing around the joint, as this video also demonstrates some of the specialised examination techniques required in examining patients such as the Thomas test for fixed flexion deformity, FADIR, and FABER tests
Reduction in movement, pain and general concerns about hip issues is a common reason for patients to see a doctor, and in general practice is probably one of the hardest joints to accurately diagnose a problem in due to the depth within the body
This video has TWO other hip demonstration videos associated with it:
• Hip Joint Clinical Exa... - Hip assessment Demo
• GALS Screen - Gait, Ar... - Gait, Arms, Legs, Spine - GALS screen
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
Some people viewing this medical examination video may experience an ASMR effect
#clinicalskills #Hip #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
00:37 - Patient Introduction and Examination Overview
01:14 - LOOK: Assessing Deformities and Symmetry
03:24 - Abnormal Gait Patterns
04:17 - Trendelenburg's Test for Hip Weakness
05:19 - FEEL: Identifying Hip and Pelvis Discomfort
06:50 - Measuring Leg Length Discrepancy
08:46 - Identifying Apparent Leg Length Discrepancy
09:50 - Thomas' Test for Fixed Flexion Deformity
11:33 - MOVE: Assessing Hip's Range of Movement
13:27 - Testing Internal and External Rotation
14:40 - Extension Testing Methods
15:50 - F.AB.ER and F.AD.IR Tests for Joint Discomfort
16:45 - Conclusion and Final Thoughts