Pelvic Femoral Angle

Other Names

• Pelvifemoral Angle
• Milch Angle
• Mundale angle
• Pelvic–Femoral Angle
• Hip Flexion Angle
• Hip Extension Angle
• Hip Flexion Contracture Angle
• Hip Extension Deficit
• Thomas Test Angle
• Modified Thomas test Measurement
• Pelvis–Femur Angle
• Femur-to-Pelvis Angle

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Purpose

• Evaluate the tightness or spasticity of the hip flexor muscles
  • Generally reserved for patients with cerebral palsy or spasticity

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Description

• The patient is placed in lateral decubitus position to minimize pelvic rotation
• Affected hip superiorly
• Extend hip back 20° as much as able, flex knee 30°
• Measure extension angle to assess hip flexor tightness/contract
  • Milch angle: lines between ASIS to ischial tuberosity & extended femur
  • Mundale angle: lines between ASIS to PSIS & perpendicular to that at 90 deg with extended femur
• Positive test
  • Trending worse comparative tightness, contracture over time

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Pathology

• Iliopsoas Tightness, associated with Hip Flexor Tendonitis

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Evidence

• Needs to be updated

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See Also

• Hip Pain (Main)
• Physical Exam Hip
• Hip Anatomy

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