Fitzgerald Test: Difference between revisions
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== Technique == | == 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" />. | |||
< | == 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" />. | |||
== | <clinicallyrelevant id="83479864" title="Fitzgerald Test - Anterior Labrum" /> | ||
<clinicallyrelevant id="83479860" title="Fitzgerald Test - Posterior Labrum" /> | |||
== References == | == References == |
Revision as of 18:20, 17 May 2023
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].
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]
- ↑ 1.0 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.