Dr. Kevin Yip

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

Featured on Channel NewsAsia

Are you suffering from Hip Bursitis?

Hip Bursitis

Hip Bursitis

Pain along the side of the hip is still a common spot for bursitis (also known as greater trochanter pain syndrome. A large tendon passes over the bony bump on the side of the hip called the greater trochanter.

Inflammation in the bursa (a protective gel sac) between the tendon and the […]

Resisted inversion of the foot

Positioning.

The patient lies supine with the knee extended and the foot in neutral position. The examiner is distal to the foot. The contralateral hand is placed at the lateral and distal end of the leg just above the lateral malleolus. The ipsilateral hand is placed against the medial border of the foot.

Procedure. […]

Resisted eversion of the foot

Positioning.

The patient lies supine with the knee extended and the foot in neutral position. The examiner is distal to the foot. His ipsilateral hand is placed at the medial and distal end of the leg just above the medial malleolus. The contralateral hand is pronated and placed against the lateral border of the […]

Resisted plantar flexion of the foot

Positioning.

The patient lies supine with the knee extended and the foot in neutral position. The examiner is distal to the foot. One fist is placed under the metatarsal heads while the other hand stabilizes the distal end of the leg just proximal to the malleoli. Procedure.

Ask the subject to plantar flex […]

MAXIMAL ISOMETRIC CONTRACTIONS OF THE FOOT

Resisted dorsiflexion of the foot

Positioning.

The subject lies supine with the knee extended and the foot in neutral position. The examiner is distal to the foot. Both hands are placed at the dorsum of the forefoot.

Procedure.

Ask the patient to extend the foot.

Common mistakes.

None. Anatomical structures tested:

Muscle function:

• […]

Resisted lateral rotation

Positioning.

The subject sits with the lower legs pendent. The examiner squats in front of the knee. The ipsilateral hand is placed against the lateral aspect of the forefoot and maintains dorsiflexion. The contralateral hand encircles the heel from the medial side.

Procedure.

The patient is asked to turn the foot outwards while the examiner […]

Resisted medial rotation

Positioning.

The subject sits with the lower legs pendent. The examiner squats in front of the knee. The ipsilateral hand encircles the heel from the lateral side. The contralateral hand is placed against the medial aspect of the forefoot and holds the foot in dorsiflexion .

Procedure.

The subject is asked to turn the […]

Resisted flexion

Positioning.

The subject lies in the supine position with the hip and knee bent to right angles. The examiner stands level with the foot of the subject. Both hands support the heel.

Procedure.

The subject is asked to move the heel downwards while the examiner applies strong counterpressure.

Common mistakes.

None.

Anatomical structures tested:

[…]

ISOMETRIC CONTRACTIONS-Resisted extension

Positioning.

The subject lies in the supine position with the knee slightly bent. The examiner stands level with the knee. One forearm is placed under the knee with the hand resting on the other knee, proximal to the patella. The other hand is on the distal end of the leg just proximal to the […]

Resisted lateral rotation

Positioning.

The subject lies prone with the hips slightly abducted and the knees flexed to 900, The examiner sits at the foot-end of the couch, just distal to the knees. With crossed arms, he places both hands against the internal malleoli.

Procedure.

Ask the subject to push the feel towards each other, and resist the […]