Fitzgerald Test
Purpose
The Fitzgerald test utilises two different test positions to determine if the patient has an anterior or posterior labral tear.
Technique
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].
Sensitivity and specificity
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
- ↑ 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.
- ↑ 2.0 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.
- ↑ Fitzgerald's Test. Available from https://www.youtube.com/watch?v=FyXW-ExBiOM