Hip Intra-Articular Evidence: suggestive

Stinchfield Test Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

Stinchfield Test Orthopedic Special Test

What is it used for?

  • Differentiating between Hip Joint pathology and Lumbar/SI issues.

How to Perform

  • Action: Patient performs an active Straight Leg Raise (SLR) to 30° against resistance.

Interpretation of Results

  • Groin/Anterior Thigh Pain: Hip pathology.
  • Buttock/Lumbar Pain: SI joint or Lumbar pathology.

Clinical Context & Limitations

The Stinchfield Test 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 Stinchfield Test with complementary examination tests significantly improves overall diagnostic confidence.

References

  • Magee, D. J. (2021). Orthopedic Physical Assessment.