Patient Details Form Blouberg Cape Town

Calculate your Harris Hip Score

Harris Hip Score Calculator

Complete all fields below to calculate your Harris Hip Score. Your result will be shown on this page and emailed to you.

Your details

First name *

Surname *

Email address *

Contact number

Harris Hip Score

Pain *

Limp *

Support *

Distance walked *

Sitting *

Enter public transportation *

Stairs *

Put on shoes and socks *

Absence of deformity

Tick each statement that applies. All four criteria must be met to receive the 4 points for absence of deformity.

Less than 30 degrees fixed flexion contracture Less than 10 degrees fixed abduction Less than 10 degrees fixed internal rotation in extension Limb length discrepancy less than 3.2 cm

Range of motion scale *

Patient Information Form

Patient Information Form

Main Member Information

Medical Aid Information

Patient Information

NEXT OF KIN (Not from the same physical address)

Harris Hip Score Calculator

Absence of deformity