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Finkelstein's test was described by Harry Finkelstein (1865–1939), an American surgeon, in 1930. [5]A similar test was previously described by Eichhoff, in which the thumb is placed in the palm of the hand and held with the fingers, and the hand is then ulnar deviated (see images), causing intense pain over the radial styloid which disappears if the thumb is released.
The adductor muscles of the hip are a group of muscles in the medial compartment of the thigh mostly used for bringing the thighs together (called adduction). Structure [ edit ]
The psoas is the primary hip flexor, assisted by the iliacus. The pectineus, the adductors longus, brevis, and magnus, as well as the tensor fasciae latae are also involved in flexion. The gluteus maximus is the main hip extensor, but the inferior portion of the adductor magnus also plays a role. The adductor group is responsible for hip adduction.
The Thomas Test examines the iliopsoas, the group of muscles that connects the spine to your legs, through the pelvis; the rectus femoris, the quad muscles that run from your hip to your knee; and ...
It arises from the margin of bone immediately around the medial side of the obturator membrane and surrounding bone, viz., from the inferior pubic ramus, and the ramus of the ischium; it also arises from the medial two-thirds of the outer surface of the obturator membrane, and from the tendinous arch which completes the canal for the passage of the obturator vessels and nerves.
Sometimes, with a very flexible patient, the Thomas test will be normal despite a psoas dysfunction being present. However, in the patient with a normal hip joint, a positive test is a good indicator of psoas hypertonicity. [2] Other signs from the Thomas test: opposite/ contralateral hip flexes without knee extension- tight iliopsoas
The piriformis muscle is part of the lateral rotators of the hip, along with the quadratus femoris, gemellus inferior, gemellus superior, obturator externus, and obturator internus. The piriformis laterally rotates the femur with hip extension and abducts the femur with hip flexion. [2]
The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint.It consists of the following muscles: piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus.