Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Resisted abduction

Positioning.

The subject lies supine and relaxed with both hips slightly abducted. The examiner stands at the foot-end of the couch and places both hands on the lateral aspect of the lower legs, just proximal to the ankles.

Procedure.

Resist the abduction movement.

Common mistakes.
None.

Anatomical structures tested:

Muscle function:

• Imporlanl abdllclors:
– Gluteus medius
– Gluteus minimus
– Tensor fasciae latae
– Gluteus maximus
• Accessory abdllctors:
– Piriformis
– Sartorius.

Common pathological situations:

• Pain may be the result of compression of an inflamed gluteal bursa.
• Alternatively it may originate from stress placed upon strained or inflamed sacroiliac ligaments.
• In congenital dislocation of the hip the movement shows some weakness.

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