Concurrent Criterion-Related Validity of Physical Examination Tests for Hip Labral Lesions: A Systematic Review

Abstract

Hip injuries are prevalent, especially within the athletic population. Of the hip injuries in this population, some 18-55% are lesions to the labrum of the hip. Clinical diagnosis of hip labral lesions is difficult because data on prevalence are varied. In addition, data on the prevalence of internal and external risk factors are absent as are data on the correlation of these risk factors with labral lesions, making it difficult to gauge the diagnostic utility. The mechanism of injury is often unknown or not specific to labral lesions. Internal risk factors may remain hidden to physical therapists because in most jurisdictions, ordering imaging tests is not within their scope of practice. Anterior inguinal pain seems highly sensitive for the diagnosis of patients with labral lesions but can hardly be considered specific; data on other pain-related and mechanical symptoms clearly have little diagnostic utility, making these data collected during the patient history almost irrelevant to diagnosis. By way of a comprehensive literature review and narrative and systematic analysis of the methodological quality of the retrieved diagnostic utility studies, this paper aimed to determine a diagnostic physical examination test or test cluster based on current best evidence for the diagnosis of hip labral lesions. Current best evidence indicates that a negative finding for the flexion-adduction-internal rotation test, the flexion-internal rotation test, the impingement provocation test, the flexion-adduction-axial compression test, the Fitzgerald test, or a combination of these tests provides the clinician with the greatest evidence-based confidence that a hip labral lesion is absent. Currently, research has produced no tests with sufficient specificity to help confidently rule in a diagnosis of hip labral lesion. Suggestions for future research are provided.

Nonsurgical Treatment of Acetabular Labrum Tears: A Case Series

“…There is limited ability to accurately clinically diagnose a labral tear. 16,[22][23][24] In addition, even for patients with a confirmed labral tear on diagnostic imagining, it does not ensure that the pain arises from the tear. 23 Therefore, we chose to use the term "clinical evidence of a labral tear" for our patients.…”

Femoroacetabular Impingement Syndrome

“…Ancak sıklıkla bunların farklı isimleri vardır, birbirine benzerdir ya da aynı ismi taır ama farklı hareket paternleri vardır. Bu testlerin sensitivite, spesifite ve olasılık oranları ve tanısal değerleri ile ilgili data eksikliği bulunmaktadır 32,37,38,46 . FAI için kullanılan fizik muayene bulguları asetabular displazi gibi diğer kalça patolojilerinde de pozitif olabilir.…”

Hip Imaging in Athletes: Sports Imaging Series

“…The clinical diagnosis is difficult. Impingement tests, such as the hip flexion-adductioninternal rotation test, show overall good sensitivity but lack sufficient specificity (69). The impingement test may even be positive in about 5%-7% of asymptomatic young adults (70).…”