Hip Quadrant Test

Expert Opinion[edit | edit source]

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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 teh 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 Hip Quadrant Test[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.