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Abduction Hyperextension External Rotation Test of the Hip

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Abduction Hyperextension External Rotation Test[1]
Abduction-extension-external rotation test[2]
  • Abduction–Hyperextension–External Rotation Test
  • AB-HEER Test
  • Abduction Hyperextension External Rotation Test of the Hip

Purpose

  • To evaluate the hip joint for causes of the patients pain

Description

  • The patient lies in the lateral decubitus position
  • Affected hip is placed upward
  • The hip is abducted 30-45 degrees, extended and externally rotated
  • An anteriorly directed force is applied to the greater trochanter
  • Positive test
    • Anterior hip pain

Pathology

Evidence

Hip Microinstability

  • Hoppe et al[1]
    • Sensitivity: 81%
    • Specificity: 89%
    • Likelihood Ratio: 7.6

See Also

References

  1. ↑ 1.0 1.1 Hoppe, Daniel J., et al. "Diagnostic accuracy of 3 physical examination tests in the assessment of hip microinstability." Orthopaedic journal of sports medicine 5.11 (2017): 2325967117740121.
  2. ↑ Wong, Stephanie E., Charles J. Cogan, and Alan L. Zhang. "Physical examination of the hip: assessment of femoroacetabular impingement, labral pathology, and microinstability." Current Reviews in Musculoskeletal Medicine 15.2 (2022): 38-52.
Created by:
John Kiel on 30 April 2025 00:46:13
Authors:
Last edited:
27 October 2025 23:17:05
Category:
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