Dr. Kevin Yip

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

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Resisted medial rotation

POSitioning.

The subject lies in the prone position with the hips slightly abducted and the knees flexed to 90°. The examiner sits at the foot·end of the couch, just distal to the knees, and places both hands against the outer malleoli.

Procedure.

Ask the subject to push the legs in an outward direction, and resist the movement.

Common mistakes:

• Abduction of the thighs. Make sure that the knees do not separate during the procedure.
• Lordosis of the back. This could provoke pain from either the lumbosacral junction or the sacroiliac joints.

Anatomical structures tested:

Muscle function:

• Tensor fasciae latae
• Gluteus medius
• Gluteus rninimus
• Add uctor magnus..

Common pathological situations.

Pain usually results from transmitted stress to an inflamed bursa.

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