Sign of the Buttock | Neoplasm / Ischial Bursitis / Hamstring Tendinopathy

Execution:

  1. Patient is in supine lying position
  2. The examiner performs a passive Straight Leg Raise Test until the patient experiences tightness in the hamstrings
  3. The examiner then flexes the patient’s knee and tries to passively move the patient’s hip further into flexion

 

Positive Outcome: The examiner is not able to move the hip further into flexion after the knee is flexed due to pain, which might indicate a neoplasm, abscess, ischial bursitis or hamstring tendinopathy at the ischial tuberosity

Study Reliability Sn Sp LR+ LR-
Mageet et al. (2014) NA NA NA NA NA
Comment: A positive Sign of the Buttock is thus a red flag and has to be examined further to exclude serious pathology!