Deprecated: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 7241

Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 2187

Deprecated: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 7241

Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 2187

Deprecated: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 7241

Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 2187

Deprecated: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 7241

Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 2187

Deprecated: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 7241

Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 2187

Deprecated: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 7241

Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 2187

Deprecated: strpos(): Passing null to parameter #1 ($haystack) of type string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 7241

Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in /www/wheelessonline_538/public/wp-includes/functions.php on line 2187
Physical Exam : Wheeless' Textbook of Orthopaedics
The Hip - book
Home » Bones » Pelvic » Physical Exam

Physical Exam

  • Presence of Shock
  • Inspection
  • Palplation:
    • symphysis, pubic rami, iliac crests, sacroiliac;
    • bimanual compression & distraction of the iliac wings, & abduction & adduction of the hip should be done to detect instability;
    • manual traction can aid in the determination of vertical instability
      • grasp both legs and pull one caudad while pushing the other cephalad
    • Neurologic Injury
  • Associated Fractures:
  • Gyn, Urinary & Rectal Injuries:
    • RUG vs. Suprapubic catheter;
    • Rectal and Vaginal exams should be performed in order to determine whether the pelvic injury communicates w/ these structures.
      • lacerations indicate an open fracture (need for colostomy)
      • during the rectal examination, the examiner can gently palpate the sacrum for tenderness or asymmetry.

Deprecated: trim(): Passing null to parameter #1 ($string) of type string is deprecated in /www/wheelessonline_538/public/wp-content/plugins/simple-lightbox/includes/class.utilities.php on line 545