Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Adduction in flexion

Significance

This provocation test may be used to compress a painful structure in the groin (psoas bursa or tendon of rectus femoris). However, it should
be interpreted with utmost care because other elements such as veins and lymph nodes can also be compressed. This test also stretches several
posterior structures (capsule of the hip joint, gluteal muscles and bursae and the sacroiliac joint).

Positioning.

The subject lies supine with the hip flexed to a right angle. The examiner stands level with the hip and places one hand on the lateral side of the knee.

Procedure.

Force the knee inwards towards the contralateral iliac crest until the movement stops.

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