Hip Quadrant Test: Difference between revisions

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== Technique<ref>Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.</ref><br>  ==
== Technique<ref>Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.</ref><br>  ==


The patient should be positioned in supine. The therapist should flex and adduct the hip until resistance is met.&nbsp; The knee should be allowed to be in a comfortably flexed position.&nbsp; The therapist then maintains flexion into resistance and moves teh hip into abduction, bringing the hip through a full arc of motion.&nbsp; If the patient reports no pain, the examiner then applies a compressive force through the long-axis of the femur to the hip.&nbsp; The test is considered positive if abnormal resistance is met or if the test reproduces the patient's complaint of pain.
The patient should be positioned in supine. The therapist should flex and adduct the hip until resistance is met.&nbsp; The knee should be allowed to be in a comfortably flexed position.&nbsp; The therapist then maintains flexion into resistance and moves the hip into abduction, bringing the hip through a full arc of motion.&nbsp; If the patient reports no pain, the examiner then applies a compressive force through the long-axis of the femur to the hip.&nbsp; The test is considered positive if abnormal resistance is met or if the test reproduces the patient's complaint of pain.


== Evidence  ==
== Evidence  ==

Revision as of 18:05, 16 March 2009

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Purpose
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This a general test to identify the presence of hip pathology.

Technique[1]
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The patient should be positioned in supine. The therapist should flex and adduct the hip until resistance is met.  The knee should be allowed to be in a comfortably flexed position.  The therapist then maintains flexion into resistance and moves the hip into abduction, bringing the hip through a full arc of motion.  If the patient reports no pain, the examiner then applies a compressive force through the long-axis of the femur to the hip.  The test is considered positive if abnormal resistance is met or if the test reproduces the patient's complaint of pain.

Evidence[edit | edit source]

Diagnostic test properties for the detection of acetabular labral tears[2]
Sensitivity   0.75
Specificity   0.43
Positive Likelihood Ratio   1.32
Negative Likelihood Ratio   0.58

References
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  1. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.
  2. Narvani A, Tsirdis E, Kendall S, Chaudhuri R, Thomas P. A preliminary report on prevalence of acetabular labral tears in sports patients with groin pain. Knee Surg Sports Traumatol Arthrosc. 2003;11:403-408.fckLRfckLR