Hibb’s test is positive for pain during a lateral push of the lower leg. This indicates pathology of which region, and if pain is in the buttock or pelvic area, what additional lesion is suggested?

Hibb’s test is positive for pain during a lateral push of the lower leg. This indicates pathology of which region, and if pain is in the buttock or pelvic area, what additional lesion is suggested?

• A. Hip Joint Pathology, Sacroiliac Lesion
• B. Lumbo-Sacral Problem, Hip Joint Pathology
• C. Sacroiliac Lesion, Lumbar Disc Pathology
• D. Hip Joint Lesion, Lumbar Disc Pathology

Answer: (A)

Hibbs test stresses the hip joint by extending the hip with the knee flexed while the patient lies prone. If pain is reproduced in the hip area, it points to hip joint pathology. When that pain is felt in the buttock or pelvic region, it suggests an accompanying sacroiliac joint lesion, since SI involvement often presents with buttock/pelvic pain and can coexist with hip pathology. Therefore, the best interpretation is hip joint pathology with an additional sacroiliac lesion. The other patterns (lumbar disc or pure lumbo-sacral problems) are less likely given this test’s hip-focused mechanism and the buttock/pelvis pain pattern.

Hibbs test stresses the hip joint by extending the hip with the knee flexed while the patient lies prone. If pain is reproduced in the hip area, it points to hip joint pathology. When that pain is felt in the buttock or pelvic region, it suggests an accompanying sacroiliac joint lesion, since SI involvement often presents with buttock/pelvic pain and can coexist with hip pathology. Therefore, the best interpretation is hip joint pathology with an additional sacroiliac lesion. The other patterns (lumbar disc or pure lumbo-sacral problems) are less likely given this test’s hip-focused mechanism and the buttock/pelvis pain pattern.