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Left Hip Examination
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INSPECTION:
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Erythema
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Erythema Location
• • •
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Deformity Hip
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Deformity Freetext
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Ecchymosis
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Ecchymosis Location
• • •
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Ecchymosis Freetext
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Inspection Freetext
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Previous surgical wound
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Surgical wound signs
• • •
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PALPATION:
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Snapping
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Warmth
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Tenderness
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Comments on tenderness:
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Tenderness Location
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Comments on tenderness location:
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RANGE OF MOTION:
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ROM FOR COMMERCIAL INSURANCE
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RANGE OF MOTION (NON NO FAULT/WC PATIENTS)
• • •
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ROM Comments
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IF NO FAULT OR WC CASE PLEASE ROM USE BELOW
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ROM Flexion N=100
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ROM Extension N=30
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ROM Abduction N=45
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ROM Adduction N=30
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ROM Internal Rotation N=40
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ROM External Rotation N=45
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MUSCLE/STRENGTH EXAM:
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Strength Hip Flexion
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Strength Hip Extension
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Strength Hip Abduction
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Strength Hip Adduction
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Hamstring Strength
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Quadriceps Strength
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PROVOCATIVE EXAMS:
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FOR OA or FAI (Impingement)
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Pain with IR/ER ROM
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OTHER PROVOCATIVE EXAMS
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Ober's Test
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[+] Ober's Test (for ITB)
• • •
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SENSATION:
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Sensation
• • •
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Sensation Comments:
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GAIT:
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Gait Normal
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Gait Comments:
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Gait Left
• • •
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Assistive device
• • •
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