Fitzgerald Test: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Rachael Lowe|Rachael Lowe]]


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
== Purpose  ==
The Fitzgerald test utilises two different test positions to determine if the patient has an anterior or posterior labral tear.
== Technique  ==
<u>Anterior labrum</u> 
The patient lies supine while the physical therapist (PT) performs flexion, external rotation, and full abduction of the hip, followed by hip extension, internal rotation, and adduction<ref name="LHJ" /><ref name=":0">Burgess RM, Rushton A, Wright C, Daborn C. [https://rugnetwerktwente.nl/bestanden/2013/April2013/LabralTestsHip.Burgess.MT.2011.pdf The validity and accuracy of clinical diagnostic tests used to detect labral pathology of the hip: a systematic review]. Manual therapy. 2011 Aug 1;16(4):318-26.</ref>.   
<u>Posterior labrum</u> 
The patient lies supine while the PT performs passive extension, abduction and external rotation from a fully flexed, internally rotated and adducted hip<ref name="LHJ" /><ref name=":0" />.   
The test is considered to be positive if pain is produced with or without an audible click<ref name="LHJ">Leiboid M, Huijbregts P, Jensen R. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2565117/ Concurrent Criterion-Related Validity of Physical Examination Tests for Hip Labral Lesions: A Systematic Review]. The Journal of Manual Manipulative Therapy. [online]. 2008;16(2):E24-41.</ref> <ref name=":0" />.   
{{#ev:youtube|FyXW-ExBiOM|300}}<ref>Fitzgerald's Test. Available from https://www.youtube.com/watch?v=FyXW-ExBiOM</ref>
== Sensitivity and specificity ==
The Fitzgerald test has been shown to have a sensitivity of between 0.98 and 1.00<ref name="LHJ" /><ref name=":0" />.  The specificity is unknown<ref name="LHJ" /><ref name=":0" />. 
== References  ==
<references />
[[Category:Outcome Measures]]
[[Category:Hip]]
[[Category:Hip - Assessment and Examination]]

Latest revision as of 18:25, 17 May 2023

Original Editor - Rachael Lowe Top Contributors - Rachael Lowe, Wendy Snyders and Rucha Gadgil

Purpose[edit | edit source]

The Fitzgerald test utilises two different test positions to determine if the patient has an anterior or posterior labral tear.

Technique[edit | edit source]

Anterior labrum

The patient lies supine while the physical therapist (PT) performs flexion, external rotation, and full abduction of the hip, followed by hip extension, internal rotation, and adduction[1][2].

Posterior labrum

The patient lies supine while the PT performs passive extension, abduction and external rotation from a fully flexed, internally rotated and adducted hip[1][2].

The test is considered to be positive if pain is produced with or without an audible click[1] [2].

[3]

Sensitivity and specificity[edit | edit source]

The Fitzgerald test has been shown to have a sensitivity of between 0.98 and 1.00[1][2]. The specificity is unknown[1][2].

References[edit | edit source]

  1. 1.0 1.1 1.2 1.3 1.4 Leiboid M, Huijbregts P, Jensen R. Concurrent Criterion-Related Validity of Physical Examination Tests for Hip Labral Lesions: A Systematic Review. The Journal of Manual Manipulative Therapy. [online]. 2008;16(2):E24-41.
  2. 2.0 2.1 2.2 2.3 2.4 Burgess RM, Rushton A, Wright C, Daborn C. The validity and accuracy of clinical diagnostic tests used to detect labral pathology of the hip: a systematic review. Manual therapy. 2011 Aug 1;16(4):318-26.
  3. Fitzgerald's Test. Available from https://www.youtube.com/watch?v=FyXW-ExBiOM