Execution:
- Patient is in supine position
- The examiner places the stethoscope on the pubic tubercle lateral to the pubic symphysis on the side to be examined
- Then tap on the patella and look for a distinct sharp sound
- Compare the findings with the other side
Positive Outcome: A dull instead of a sharp sound is indicative of a hip fracture
|
Study |
Reliability | Sn | Sp | LR+ | LR- |
| NA | 95 | 86 | 6.11 |
0.07 |
|
| Smeets et al. (2018) | К= 0.7 | 85 | 70 | 2.83 |
0.21 |
| Comment: Although the study of Smeets et al. (2018) only scores moderately to rule out an occult hip and/or pelvic fracture, the meta-analysis of Reimand et al. (2013) indicates better accuracy. | |||||
