A patient, lying supine with both legs extended and raised 2 inches off the table, is able to maintain this position for only 20 seconds. This finding most likely indicates that the patient has
a. a herniated intervertebral disk. c. degenerative hip joint disease.
b. flexion contractures of the hip joints. d. a loose object within the joint.
A
In order to assess for a herniated intervertebral disc, the patient is placed in a supine position with both legs fully extended. Ask the patient to raise both legs at least 2 inches off the table while maintaining the legs in extension for at least 30 seconds. The inability of the patient to maintain the straight legs in the raised position for at least 30 seconds is suggestive of pressure on the spinal nerves and is indicative of a herniated intervertebral disc. Flexion contractures of the hip occur with long-term degenerative joint diseases.
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