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Resisted External Derotation Test

From WikiSM


Other Names

  • Modified External De-rotation Test

Purpose

Demonstration of the resisted external derotation test[1]
  • To evaluate the cause of hip pain

Description

  • The patient is supine
  • The hip and knee on the affected side are both flexed 90°, and then the hip is externally rotated.
  • The patient is then asked to internally rotate the thigh back to a neutral position while the examiner resists
  • Positive test
    • Trochanteric pain

Pathology

Evidence

Greater Trochanteric Pain Syndrome

  • Kinsella et al: Systematic Review, Meta Analysis[2]
    • Sensitivity: 68%
    • Specificity: 96%
    • LR+: 16.53
    • LR-: 0.33
    • Diagnostic OR: 49.78

See Also

References

  1. ↑ Sunil Kumar, Karadi Hari, et al. "Pathogenesis and contemporary diagnoses for lateral hip pain: a scoping review." Knee Surgery, Sports Traumatology, Arthroscopy 29 (2021): 2408-2416.
  2. ↑ Kinsella, Rita, et al. "Diagnostic accuracy of clinical tests for assessing greater trochanteric pain syndrome: a systematic review with meta-analysis." Journal of Orthopaedic & Sports Physical Therapy 54.1 (2024): 26-49.
Created by:
John Kiel on 31 August 2020 18:58:38
Authors:
Last edited:
10 August 2024 13:51:04
Category:
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