The flexion-adduction test: an early sign of hip disease.

The flexion-adduction test: an early sign of hip disease. Research Abstract Details 

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The flexion-adduction test: an early sign of hip disease. Abstract Text:

This report introduces the flexion-adduction test as an additional diagnostic technique for hip pathology in children and young adults. Losses of flexion-adduction, internal rotation, abduction and total flexion arc are all individually assessed in patients with confirmed hip pathology. The findings suggest that the "flexion-adduction" test is a simple, but sensitive, clinical procedure to detect the early signs of hip disease in older children and young adults. Although abduction and internal rotation are reportedly the most commonly restricted movements in frequent hip pathologies such as irritable hip, Legg-Calve-Perthes disease and slipped epiphysis, we believe that the loss of flexion-adduction is often the first affected range of movement. A statistical analysis of 87 cases from 1994 to 1997 is presented wherein the clinical loss of flexion-adduction provided the initial suggestion of underlying hip pathology, and concludes that the loss of internal rotation, abduction and flexion arc are not statistically reliable tests for clinically diagnosing pathology individually. Often, despite a positive flexion-adduction test, the other ranges of movements remained unaffected or minimally affected in children and young adults with varying hip diseases, later confirmed through subsequent physical examinations or investigations. A thorough explanation of the flexion-adduction test is provided.

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The flexion-adduction test: an early sign of hip disease. Journal Published:

PUBLICATION TYPE: Validation Studies

Journal: Journal of pediatric orthopaedics. Part B / Europe

VOLUME: 10

Page Numbers: 180-5

Journal Abbreviation: J Pediatr Orthop B

ISSN: 1060-152X

DAY: 1

MONTH: Jul

YEAR: 2001

The flexion-adduction test: an early sign of hip disease. Information

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LANGUAGE: eng

NlmUniqueID: 9300904

The flexion-adduction test: an early sign of hip disease. Keywords Mesh Terms:

KEYWORDS: Time Factors

MESH TERMS: standards

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Grant and Affiliation Information for The flexion-adduction test: an early sign of hip disease.

AFFILIATION: Royal North Shore Hospital, St Leonards, NSW, Australia.

Country: United States

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MEDLINETA: J Pediatr Orthop B

REFSOURCE: J Pediatr Orthop B. 2002 Oct;11(4):355

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