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Scour Test

Scour Test

Name
Purpose1,2,3
Description2,3
Sensitivity, Specificity
Reliability
Likelihood Ratio +/-
DOR
Hip Scour Test
Tests for Hip labrum, capsulitis, osteochondral defects, acetabular defects, osteoarthritis, avascular necrosisand femoral acetabular impingment syndrome.
The subject should be in supine with the examiner standing on the involved side. The examiner passively flexes and adducts the subject’s hip and places the knee in full flexion. The examiner then applies a downward force along the shaft of the femur while passively adducting and externally rotating the hip. The examiner then passively adducts and internally rotates the hip while keeping the downward pressure through the femur. Any pain or apprehension or unusual movements indicate a positive sign. Also note wherein the motion the symptom is present to determine where the pathology is occurring.
Sensitivity=
.624-.915
 
Specificity=
.436-.754
 
Interrater ICC =.877
 
LR+ =
1.36- 2.44
LR- =
.514-.586
2.246

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2.       Konin JG, Wiksten DL, Isear Jr. JA, Brader. Special Tests for orthopedic Examination. 3rd ed. Thorofare, NJ; 2006.
3.       Magee DJ.  Orthopedic Physical Assessment. 5th ed. St. Louis, MO: Saunders Elsevier; 2008.
4.       Sutlive TG, Lopez HP, Schnitker DE, Yawn SE, Halle RJ, Mansfield LT, Boyles RE, Childs JD. Development of a clinical prediction rule for diagnosing hip osteoarthritis in individuals with unilateral hip pain. J Orthop Sport Phys Ther. 2008; 38: 542-550.
5.       Leuning M, Werlen S, Ungersbock A, Ito K, Ganz R. Evaluation of the acetabular labrum by MR arthrography. J Bone Joint Surg Br. 1997; 79 (2):230-234.
6.       Narvani A, Tsiridis E, Kendall S, Chaudhuri R, Thomas P. A preliminary report on prevalence of acetabular labrum tears in sports patients with groin pain. Knee Surg Traumatol Arthrosc. 2003; 11: 403-408.
7.       Cliborne AV, Waineer RS, Rhon DI, et al: Clinical hip tests and a functional squat test in patients with knee osteoarthritis: reliability, prevalence of positive test findings, and short-term response to hip mobilization, J Orthop Sports Phys Ther 34:676-685, 2004.