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Patrick’s Test: Bedside Procedure

At bedside, your patient lies flat on the examination table for a routine joint examination. For Patrick's test, ask them to relax their legs and...

Prompt

Source idea used to generate this video.

Create Patricks test. Steps: 1. Position the Patient: Have the patient lie completely flat on their back (supine position) on a comfortable examination table. Instruct them to relax their legs. 2. Form the "Figure-Four": Take the foot of the leg you want to test and place it across the opposite thigh, resting it just above the opposite knee. The tested leg should now look like the number 4. 3. Stabilize the Pelvis: Place one of your hands firmly on the patient's opposite hip bone (anterior superior iliac spine or ASIS). This prevents the pelvis from lifting or rotating during the test, ensuring accurate results. 4. Apply Downward Pressure: Place your other hand on the inside of the patient's bent knee. Apply a gentle, steady downward pressure toward the examination table. 5. Check for a Response: Ask the patient if they feel any pain or discomfort, and note exactly where they feel it (e.g., in the front groin or the lower back/buttock area). Also, observe if the bent knee can drop parallel to the table or if it remains tightly elevated.

Narration

Narration used to create this video.

Video narration

At bedside, your patient lies flat on the examination table for a routine joint examination. For Patrick's test, ask them to relax their legs and remain supine. Take the foot of the leg you are testing and place it across the opposite thigh, just above the opposite knee. The legs form a figure-four. Before pressing, stabilize the pelvis by placing one hand over the opposite ASIS, the front point of the hip. This prevents pelvic lifting or rotation. Place your other hand on the inside of the bent knee. Apply gentle, steady pressure downward toward the table. Do not force it. Ask the patient to report discomfort immediately. Now note exactly where the pain is felt. Observe whether the bent knee drops parallel to the table or remains elevated. In this bedside examination, record both findings: the pain location and the knee's position relative to the table.