Sign of the Buttock
Sign of the buttock was a termed coined by Cyriax. It actually meant seven signs rather than a single one. The significance of these signs is to indicate serious pathology posterior to the axis of flexion and extension of the hip.
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What are the signs of the buttock?
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What conditions do they indicate?
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List six signs of severe CNS compromise that would cause you to return the patient to the physician for further investigation.
- Limited straight leg raise
- Limited hip flexion to the same extent as the straight leg raise
- Limited trunk flexion to the same extent as hip flexion
- Painful weakness of hip extension
- Non-capsular pattern of restriction at the hip
- Swollen buttock
- Empty end feel on flexion
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What conditions do they indicate?
- Rheumatic bursitis
- Osteomyelitis of the upper femur
- Neoplasm of the upper femur
- Neoplasm of the ilium
- Fractured sacrum
- Ischiorectal abcess
- Septic sacroilitis
- Septic bursitis
References:
Cyriax, J. Textbook of Orthopedic Medicine Volume 1. Whatever edition you have.
Disclaimer:
The assessment and treatment techniques depicted or described in this site are not intended to replace formal instruction in orthopedic manual or any other type of physical therapy. They are intended to review, augment and facilitate the knowledge and skills previously gained on manual therapy or other course and to stimulate the untrained or trainee physical therapist to increase the bounds of his or her knowledge and skill base.
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