Fulcrum Test

Other Names

• Fulcrum Test

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Purpose

Fulcrum Test

Clinical demonstration of the fulcrum test

• Evaluate the Femur and thigh pain for possible Stress Fracture

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Description

• The patient is seated, legs hanging from the examination table
• The examiner sits on the side of the affected limb
• One arm is placed under the symptomatic thigh, with the palm resting on the contralateral thigh
• The other arm applies downward pressure on the patients lower leg, using the hand under the thigh as a 'fulcrum'
• The hand under thigh can be moved up and down the leg to attempt to find the place of maximal discomfort
• Positive test
  • Increased pain or discomfort, sometimes apprehension

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Pathology

• Femoral Shaft Stress Fracture
• Femoral Neck Stress Fracture

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Evidence

• Unknown

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See Also

• Physical Exam Hip
• Hip Pain (Main)
• Thigh Pain Main

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