Table 1: Specific tests for acetabular labral tear | ||
---|---|---|
Physical test | Testing procedure | Positive result indicating a possible labral tear |
Thomas Test | The patient sits at the edge of the plinth and lies on their back with both knees to the chest. One knee (the uninvolved side) is held to the chest and the involved limb is slowly lowered into extension of the hip by the clinician. The knee is allowed to extend. The patient is instructed to pull his or her pelvis into posterior rotation. The clinician may use a goniometer to measure the extension angle of the hip and/or the knee. | The patient’s groin or hip pain is reproduced with or without a click. |
FADDIR Test | The patient is positioned in supine. The therapist passively moves the patient’s leg to approximately 90 degrees of hip and knee flexion. The leg is then passively adducted and internally rotated at the hip. | The patient’s groin pain is reproduced. |
Flexion-internalrotation test | The patient is supine. The clinician passively performs the combined movements of flexion to 90 degrees and internal rotation of the hip is carried out. | The patient’s groin pain is reproduced. |
Scour test | The patient starts in a supine position. The clinician flexes the patient’s hip and knee, performing a sweeping motion from external to internal rotation as an axial load is applied. | Reproduction of the patient’s pain or apprehension at a specific point. |
Internal rotationwith overpressuretest | The patient is supine. The clinician passively moves the hip to 90 degrees flexion followed by internal rotation with overpressure at the end of range. | Pain or discomfort reproduced in the groin. |
Resisted straightleg raise test | The patient lies supine with both legs extended, and with the trunk supported upright with both arms. The patient raises their leg 30 cm off the table with the clinician applying a downward force at the distal thigh with the patient aiming to resist this force. | Reproduction of pain in the lower quadrant or anterior hip. |
Internal rotationflexion-axialcompression test | The patient lies supine. The clinician passively performs the combined motions of hip internal rotation, flexion and axial compression down into the acetabulum (longitudinally through the femur). | Pain or discomfort reproduced in the groin. |
Postero-inferiorlabrum test | The patient lies supine, close to the edge of the table. The clinician passively moves the hip into hyperextension, abduction and external rotation. | Reproduction of discomfort and apprehension |
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