KALÇANIN FİZİK MUAYENESİ

Dilara Ekici Zincirci

Prof. Dr. Cemil Taşcıoğlu Şehir Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, Türkiye

Ekici Zincirci D. Kalça Muayenesi. Çalış M, Talay Çalış H ed. Ağrıda Odak Noktası Kalça. 1. Baskı. Ankara: Türkiye Klinikleri; 2025. p.17-26.

ÖZET

Kalça gövdeyi alt ekstremiteye bağlayan ve vücudun ağırlığını taşıyan büyük eklemlerden biridir. İleri yaşla birlikte kalça ağrısı insidansında artış görülmektedir. Gövdeyi alt ekstremiteye bağlayan bu bölgenin karmaşık anatomisi ve biyomekanik özellikleri nedeniyle derin yapılardan ve çevre eklemlerden yansıyan ağrılar tanısal zorluklara neden olabilmektedir. Kalça ağrısı yakınmasıyla başvuran hastada ayrıntılı anamnez ve sistematik fizik muayene, kalça ve çevresindeki yapılardan kaynaklanan patolojileri ayırt edebilmenin temel koşuludur.

Anahtar Kelimeler: Ağrı; Fizik muayene; Tanı; Kalça

Referanslar

  1. Mesci E. Kalça biyomekaniği. Geler Külcü D, editör. Ekstraartiküler Kalça Ağrıları. 1. Baskı. Ankara: Türkiye Klinikleri; 2022. p.1-7. [Link]
  2. Scopp JM, Moorman CT. The assessment of athletic hip injury. Clin Sports Med. 2001;20(4). [Crossref]  [PubMed]
  3. Martin HD. Clinical examination of the hip. Oper Tech Orthop. 2005;15(3). [Crossref]
  4. Braly BA, Beall DP, Martin HD. Clinical Examination of the Athletic Hip. Clin Sports Med. 2006;25(2). [Crossref]  [PubMed]
  5. DeAngelis NA, Busconi BD. Assessment and differential diagnosis of the painful hip. Clin Orthop Relat Res. 2003;406:11-8. [Crossref]
  6. Martin HD, Kelly BT, Leunig M, Philippon MJ, Clohisy JC et al. The pattern and technique in the clinical evaluation of the adult hip: the common physical examination tests of hip specialists. Arthroscopy. 2010 Feb;26(2):161-72. [Crossref]  [PubMed]
  7. Draovitch P, Edelstein J, Kelly BT. The layer concept: Utilization in determining the pain generators, pathology and how structure determines treatment. Curr Rev Musculoskelet Med. 2012;5(1). [Crossref]  [PubMed]  [PMC]
  8. Martin HD, Palmer IJ. History and physical examination of the hip: the basics. Curr Rev Musculoskelet Med. 2013 Sep;6(3):219-25. [Crossref]  [PubMed]  [PMC]
  9. Martin RL, Schröder RG, Gomez-Hoyos J, Khoury AN, Palmer IJ, McGovern RP et al. Accuracy of 3 Clinical Tests to Diagnose Proximal Hamstrings Tears With and Without Sciatic Nerve Involvement in Patients With Posterior Hip Pain. Arthroscopy. 2018 Jan;34(1):114-121. [Crossref]  [PubMed]
  10. Gómez-Hoyos J, Martin RL, Schröder R, Palmer IJ, Martin HD. Accuracy of 2 Clinical Tests for Ischiofemoral Impingement in Patients With Posterior Hip Pain and Endoscopically Confirmed Diagnosis. Arthroscopy. 2016 Jul;32(7):1279-84. [Crossref]  [PubMed]
  11. Byrd JT. Physical Examination. Byrd JT, ed. Operative Hip Arthroscopy.2nd ed. New York: Springer; 2005:36-50. [Link]
  12. Gómez-Hoyos J, Schröder R, Reddy M, Palmer IJ, Martin HD. Femoral Neck Anteversion and Lesser Trochanteric Retroversion in Patients With Ischiofemoral Impingement: A Case-Control Magnetic Resonance Imaging Study. Arthroscopy. 2016 Jan;32(1):13-8. [Crossref]  [PubMed]
  13. Beall DP, Martin HD, Mintz DN, Justin QL, Costello RF, Braly BA et al. Anatomic and structural evaluation of the hip: a cross-sectional imaging technique combining anatomic and biomechanical evaluations. Clin Imaging. 2008;32(5). [Crossref]  [PubMed]
  14. Johnson AW, Weiss CB, Wheeler DL. Stress Fractures of the Femoral Shaft in Athletes More Common Than Expected: A New Clinical Test. Am J Sports Med. 1994;22(2). [Crossref]  [PubMed]
  15. Fajolu OK, Pencle FJR, Rosas S, Chin KR. A Prospective Analysis of the Supine and Sitting Straight-Leg Raise Test and Its Performance in Litigation Patients. Int J Spine Surg. 2018 Mar 30;12(1):58-63. [Crossref]  [PubMed]  [PMC]
  16. Martin HD, Kivlan BR, Palmer IJ, Martin RL. Diagnostic accuracy of clinical tests for sciatic nerve entrapment in the gluteal region. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):882-8. [Crossref]  [PubMed]
  17. Pace JB, Nagle D. Piriform syndrome. West J Med. 1976 Jun;124(6):435-9. [PubMed]
  18. Martin HD, Khoury A, Schröder R, Palmer IJ. Ischiofemoral Impingement and Hamstring Syndrome as Causes of Posterior Hip Pain: Where Do We Go Next? Clin Sports Med. 2016;35(3). [Crossref]  [PubMed]
  19. Krabak B, Sussman W, Byrd JWT. Physical Examination of the Pelvis and Hip. In: Malanga GAMK, ed. Musculoskeletal Physical Examination: An Evidence-Based Approach. 2nd ed. Elsevier; 2017:145-172. [Link]
  20. Pearson JR, Riddell DM. Idiopathic osteo-arthritis of the hip. Ann Rheum Dis. 1962;21. [Crossref]  [PubMed]  [PMC]
  21. Patrick HT. Brachial neuritis and sciatica. J Am Med Assoc. 1917; LXIX(26). [Crossref]
  22. Tijssen M, van Cingel R, Willemsen L, de Visser E. Diagnostics of femoroacetabular impingement and labral pathology of the hip: a systematic review of the accuracy and validity of physical tests. Arthroscopy. 2012 Jun;28(6):860-71. [Crossref]  [PubMed]
  23. Fitzgerald RH Jr. Acetabular labrum tears. Diagnosis and treatment. Clin Orthop Relat Res. 1995 Feb;(311):60-8. PMID: 7634592. [PubMed]
  24. Martin RRL, Enseki KR, Draovitch P, Trapuzzano T, Philippon MJ. Acetabular labral tears of the hip: Examination and diagnostic challenges. Journal of Orthopaedic and Sports Physical Therapy. 2006;36(7). [Crossref]  [PubMed]
  25. Thomas HO. The classic. Diseases of the hip, knee and ankle joint with their deformities treated by a new and efficient method. Clin Orthop Relat Res. 1974 Jul-Aug;(102):4-9. [Crossref]  [PubMed]
  26. Ashton BB, Pickles B, Roll JW. Reliability of Goniometric Measurements of Hip Motion in Spastic Cerebral Palsy. Dev Med Child Neurol. 1978;20(1). [Crossref]  [PubMed]
  27. Melchione WE, Sullivan MS. Reliability of measurements obtained by use of an instrument designed to indirectly measure iliotibial band length. J Orthop Sports Phys Ther. 1993 Sep;18(3):511-5. [Crossref]  [PubMed]
  28. Ober FR. The rôle of the ıliotibial band and fascia lata as a factor in the causation of low-back disabilities and sciatica. J Bone Joint Surg. 1936;18(1). [Link]
  29. Magee DJ,Manske RC. Hip. Orthopedic Physical Assessment. 7th ed. Canada: Elsevier 2021. p.765-868. [Link]
  30. Scorcelletti M, Reeves ND, Rittweger J, Ireland A. Femoral anteversion: significance and measurement. J Anat. 2020 Nov;237(5):811-826. [Crossref]  [PubMed]  [PMC]
  31. Peeler J, Anderson JE. Reliability of the Ely's test for assessing rectus femoris muscle flexibility and joint range of motion. J Orthop Res. 2008 Jun;26(6):793-9. [Crossref]  [PubMed]
  32. Waldman SD. The femoral stretch test. Waldman SD, ed. Physical Diagnosis of Pain.5th ed. Philadelphia: Elsevier; 2021:232;368-269. [Link]