Clinical tests used to diagnose pubic aponeurosis, adductor and hip pathology
| Diagnosis | Test | Sens (%) | Spec (%) | PPV (%) | NPV (%) | +LR | −LR |
|---|---|---|---|---|---|---|---|
| PA injury | SQ90° | 85.4 | 7.5 | 65.3 | 48.5 | 0.92 | 1.95 |
| SQ45° | 79.5 | 30.3 | 65.9 | 46.7 | 1.14 | 0.68 | |
| SQ0° | 87.5 | 29.6 | 67.7 | 58.3 | 1.24 | 0.42 | |
| Palp PA | 85.3 | 68.1 | 85.4 | 77.4 | 2.67 | 0.22 | |
| Palp adductor | 62.1 | 46.5 | 66.2 | 42 | 1.16 | 0.82 | |
| Hip IR limited | 86.6 | 15.3 | 63.4 | 40.7 | 1.02 | 0.88 | |
| Cross-over +ve | 45 | 64.1 | 67.9 | 40.8 | 1.25 | 0.86 | |
| Adductor injury | SQ90° | 89.3 | 18.6 | 16 | 90.9 | 1.1 | 0.58 |
| SQ45° | 80.4 | 24.5 | 15.6 | 87.8 | 1.07 | 0.8 | |
| SQ0° | 82.1 | 18.6 | 14.9 | 85.7 | 1.01 | 0.96 | |
| Palp adductor | 94.6 | 47.5 | 23.9 | 98.1 | 1.8 | 0.11 | |
| Palp PA | 53.6 | 30.2 | 12.2 | 78.9 | 0.77 | 1.54 | |
| Hip IR limited | 82.1 | 13.4 | 14.2 | 81.1 | 0.95 | 1.34 | |
| Cross-over +ve | 41.1 | 58.4 | 14.6 | 85.1 | 0.99 | 1.01 | |
| Hip injury | SQ90° | 67.2 | 18.8 | 15 | 72.8 | 0.83 | 1.74 |
| SQ45° | 65.4 | 21.0 | 18.3 | 69.2 | 0.83 | 1.64 | |
| SQ0° | 71.6 | 16.0 | 18.7 | 67.6 | 0.85 | 1.78 | |
| Hip IR limited | 90.1 | 15.3 | 14.1 | 85.2 | 1.06 | 0.65 | |
| Cross-over +ve | 34.6 | 56.7 | 17.7 | 76.2 | 0.80 | 1.15 |
Sensitivity, specificity, positive predictive value and negative predictive value for tests shown.
Cross-over +ve, pain on cross-over test; L, left side; NPV, negative predictive value; PA, pubic aponeurosis, Hip IR limited, limited hip internal rotation; Palp adductor, palpatory tenderness of the adductor origin; Palp PA, palpatory tenderness of the pubic aponeurosis; PPV, positive predictive value; R, right side; Sens, sensitivity; Spec, specificity; SQ0°, adductor squeeze test at 0° hip flexion; SQ45°, adductor squeeze test at 45° hip flexion; SQ90°, adductor squeeze test at 90° hip flexion.