Inspection of the hip begins with careful observation of the patient's gait on entering the room. Observe the two phases of gait:

Underlying cord or nerve root compression should be considered. Note that arthritis or infection in the hip, rectum, or pelvis may cause symptoms in the lumbar spine. See Table 15-1, Low Back Pain (p. 522).

■ Stance—when the foot is on the ground and bears weight (60% of the walking cycle)

Most problems appear during the weight-bearing stance phase.


Foot flat Midstance



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