What is the Hip Scour Test (Quadrant) used for?

Detecting arthritis, labral tears, or capsular defects (inner and outer quadrants).

How do you perform the Hip Scour Test (Quadrant)?

Position: Patient lies supine with hip flexed to 90°. Action: Apply axial compression down the femur while moving the hip in an arc of Adduction/Internal Rotation to Abduction/External Rotation.

What is a positive result for the Hip Scour Test (Quadrant)?

Positive Test: Pain, apprehension, or a grinding sensation (crepitus) within the joint.

What is the diagnostic accuracy of the Hip Scour Test (Quadrant)?

Sensitivity: 75%Specificity: 43%

Hip Scour Test (Quadrant) – Hip Special Test

What is it used for?

Detecting arthritis, labral tears, or capsular defects (inner and outer quadrants).

How to Perform

Position: Patient lies supine with hip flexed to 90°.
Action: Apply axial compression down the femur while moving the hip in an arc of Adduction/Internal Rotation to Abduction/External Rotation.

Interpretation of Results

Positive Test: Pain, apprehension, or a grinding sensation (crepitus) within the joint.

Diagnostic Accuracy

Sensitivity: 75%
Specificity: 43%

Clinical Context & Limitations

The Hip Scour Test (Quadrant) should be considered as one component of a comprehensive musculoskeletal assessment. No single special test has perfect diagnostic accuracy; thus, clinical decision-making should integrate test results with patient-reported symptoms, mechanism of injury, functional impairment, and relevant imaging.

Clinicians should be aware of potential false-positive results in patients with pain sensitisation, muscle guarding, or poor relaxation. For the Hip region, combining the Hip Scour Test (Quadrant) with complementary examination tests significantly improves overall diagnostic confidence.