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Which landmarks are most appropriate for a hip examination in a five-year-old female patient with hip pain?

  1. The iliac crest and the ASIS

  2. The ASIS and the symphysis pubis

  3. The ASIS and the greater trochanter

  4. The greater trochanter and the femoral neck

The correct answer is: The ASIS and the greater trochanter

When performing a hip examination in a five-year-old female patient experiencing hip pain, using the anterior superior iliac spine (ASIS) and the greater trochanter as landmarks is particularly appropriate. The ASIS is a prominent bony landmark located at the front of the pelvis, which helps in identifying the position of the hip joint and serves as a consistent reference point when positioning the patient for imaging or examination. The greater trochanter is another critical landmark located on the femur, which can be easily palpated and corresponds to the hip joint's anatomy. Together, these landmarks provide a reliable reference for locating the hip joint and ensuring accurate imaging or examination of the area in question. Using the iliac crest and the ASIS, while helpful in some contexts, does not provide the same direct correlation with the hip joint itself, making it less specific for hip assessments. Similarly, the ASIS in combination with the symphysis pubis is related to more of the pelvic anatomy rather than emphasizing the hip joint specifically. Lastly, while the greater trochanter and femoral neck are relevant to the hip examination, the femoral neck is less externally palpable than the greater trochanter and might make access to the examination or imaging less straightforward in