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1. Important
Stittness (worse in morning, gets better with movement or not)
Histo-ry Points
Clicking, crunching, giving way
Systemic infection
Red flags (back pain, weight
loss) Fasted??
Past surgical history
Activities of daily living (ADLs)
Hand dominance
2. OSCE
instruc- "Look Feel Move" (*remember Feel - TEMPERATURE)
tions Special Tests
NV assessment
Examine attected side
only Do not narrate
3. PMSSSS (for Posture
every LOOK Muscle Wasting
sec-tion) Skin Changes
Scars (surgeries)
Swelling (inflammation)
Symmetry (compare sides)
4. Active vs Do Active first, if diminished then do Passive
Passive ROM
If you CAN'T correct diminished ROM (can't physically move) = ortho joint
problem
If you CAN correct diminished ROM, it's usually pain or can't generate
power or signal can't get there (rheum/neuro)
5. Hip - Look (stand- "Which hip is sore? Where is it sore?"
ing up)
,MSK/Ortho OSCE Exam with all Correct & 100% Verified
Answers |Actual Complete Exam |Already Graded A+
Age, BMI, frailty
, MSK/Ortho OSCE Exam with all Correct & 100% Verified
Answers |Actual Complete Exam |Already Graded A+
Mobility aids
Posture
Muscle Wasting
Skin Changes (erythema,
inflammation) Scars (arthroscopy,
arthroplasty, DHS) Swelling
(inflammation, ettusion)
Symmetry
Fixed flexion (look from side = OA)
External rotation of leg (look at foot hip fracture)
Measure leg length with tape
measure True: ASIS to medial
maleolus Apparent: Umbilicus to
medial maleolus
6. Hips - Gait Ask pt to walk across room and back
Symmetry & smoothness
Normal heel strike, toe ott & step height
Antalgic gait (limp)
Wobbling Trendelenburg Gait (common in OA hips)
7. Hips - Trendelenburg Test (ABductor instability)
Standing
-Pain (OA)
Special Test
-Weakness (e.g. nerve root lesion)
-Developmental dysplasia (DDH)
-Slipped upper femoral epiphysis (SUFE)
1. Sit on chair in front of pt
2. Place hands on their iliac crests with your thumbs over ASISs