Table 4

Adductor injury diagnosis: effectiveness of clinical tests and grading the quality of evidence

Clinical testsLikelihood ratio, (95% CI)Diagnostic effectiveness
HighModerateLow/very low
MRI used as reference standard
 Adductor palpation (adductor longus, gracilis, pectineus)71 LR+=2.23 (1.51 to 3.29)Moderate quality of evidence
LR−=0.08 (0.02 to 0.31)Low quality of evidence
 Squeeze 0°71 LR+=3.13 (1.75 to 5.59)Low quality of evidence
LR−=0.26 (0.14 to 0.48)Moderate quality of evidence
 Squeeze 45°71 LR+=1.81 (1.13 to 2.92)Moderate quality of evidence
LR−=0.52 (0.33 to 0.81)Moderate quality of evidence
 Resisted outer range adduction71 LR+=3.30 (1.85 to 5.87)Low quality of evidence
LR−=0.20 (0.10 to 0.41)Moderate quality of evidence
 Passive adductor stretching71 LR+=3.04 (1.51 to 6.14)Low quality of evidence
LR−=0.49 (0.34 to 0.71)Moderate quality of evidence
 Flexion abduction external rotation test71 LR+=1.45 (0.81 to 2.60)Moderate quality of evidence
LR−=0.79 (0.59 to 1.06)Moderate quality of evidence
  • MRI; the diagnostic effectiveness of the positive (LR+) and negative (LR−) likelihood ratios are classified individually as: very low (LR+: 1 to 2; LR−: 0.5 to 1), low (LR+: >2 to 5; LR−: 0.2 to <0.5), moderate (LR+: >5 to 10; LR−: 0.1 to <0.2); high (LR+: >10; LR−: <0.1).37