We need you! See something you could improve? Make an edit and help improve WikSM for everyone.

Resisted Abduction Test

From WikiSM
Jump to: navigation, search


Other Names

  • Passive Adduction With Resisted Abduction

Purpose


Description

  • The patient is supine
  • The affected leg is passively abducted about 30-45°, slight flexion in the knee
  • The patient is then asked to abduct against resistance from the examiner
  • Positive Test:
    • Pain will localizing to lower back suggests sacroiliac joint

Modified Version

  • Can also adduct limb and have them abduct from this position

Pathology


Evidence

Sacroiliac Joint Pain

Gluteus Medius Tear

  • Ortiz-Declet et al looking at Gluteus Medius Tears[2]
    • Sensitivity: 73%
    • Specificity: 87%
    • PPV: 83%
    • NPV: 78%
    • Diagnostic Accuracy: 80%

See Also


References

  1. Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J. Spinal Disord. 11(4), 341-345 (1998).
  2. Ortiz-Declet, Victor, et al. "Diagnostic accuracy of a new clinical test (resisted internal rotation) for detection of gluteus medius tears." Journal of Hip Preservation Surgery 6.4 (2019): 398-405.
Created by:
John Kiel on 8 August 2019 23:36:47
Authors:
Last edited:
15 May 2023 10:42:16
Category: