{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:10:04Z","timestamp":1792480204427,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T00:00:00Z","timestamp":1741305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To perform a systematic review of the accuracy of various physical examination tests for diagnosing prearthritic intra\u2010articular hip pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses) guidelines by searching PubMed, Embase, and the Cochrane Library to identify studies that measured sensitivity and\/or specificity of various physical examination tests for diagnosing prearthritic intra\u2010articular hip pathology such as a labral tear, femoroacetabular impingement (FAI), or microinstability of the hip joint. The search phrase used was\n                      <jats:italic>hip AND (exam OR examination) AND pain AND (sensitivity OR specificity)<\/jats:italic>\n                      . A total of 15 studies (4 Level I, 6 Level II, and 5 Level III) met the inclusion criteria, including a total of 1,378 hips. The patients had a mean age range of 16.0 to 60.2 years, with males ranging from 11% to 100% of the cohort. For diagnosing hip labral tears, the FADIR (flexion, adduction, internal rotation) test showed the highest sensitivity of 100%, and the FABER (Flexion, Abduction, External Rotation) test showed the highest specificity of 100% based on reference standard comparisons of magnetic resonance imaging (MRI) and direct visualization during hip arthroscopy (HA), respectively. For diagnosing FAI, the IROP (Internal Rotation Over Pressure) test showed the highest sensitivity of 91%, and the FADIR test showed the highest specificity of 47% based on reference standard comparisons of MRI and HA, respectively. For diagnosing hip microinstability, the AB\u2010HEER (abduction\u2013hyperextension\u2013external rotation) test showed the highest sensitivity of 80.6%, and the Prone Instability test showed the highest specificity of 97.6% based on reference standard comparisons of MRI and HA, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study found high variability in the sensitivity and specificity of physical examination tests for diagnosing prearthritic intra\u2010articular hip disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2025.101117","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T21:31:09Z","timestamp":1741901469000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Sensitivity and Specificity for Physical Examination Tests in Diagnosing Prearthritic Intra\u2010Articular Hip Pathology Are Highly Variable: A Systematic Review"],"prefix":"10.1002","volume":"7","author":[{"given":"Jaydeep","family":"Dhillon","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Samaritan Health Services Corvallis Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan J.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery &amp; Rehabilitation Texas Tech University Health Sciences Center Lubbock Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carson","family":"Keeter","sequence":"additional","affiliation":[{"name":"Department of Orthopedics University of Colorado Anschutz Medical Campus Aurora Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Kraeutler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery &amp; Rehabilitation Texas Tech University Health Sciences Center Lubbock Texas U.S.A."},{"name":"Department of Orthopaedics Institute of Clinical Sciences University of Gothenburg Sahlgrenska Academy Gothenburg M\u00f6Indal Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.04.002"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-24-00340"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2018.1436844"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231188114"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120918383"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967114523916"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3431-7"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091035"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516686960"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.19413"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01267"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000193511.91643.2a"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00009"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-2-82"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.002"},{"key":"e_1_2_3_18_2","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2021"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v036.i03"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221149748"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2450-0"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.04.075"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2010.01.014"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200305000-00005"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2013.06.008"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0390-7"},{"key":"e_1_2_3_27_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453670902988402"},{"key":"e_1_2_3_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1757-7861.2010.00121.x"},{"key":"e_1_2_3_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2668-8"},{"key":"e_1_2_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2017.06.011"},{"key":"e_1_2_3_31_2","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12651"},{"key":"e_1_2_3_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117740121"},{"key":"e_1_2_3_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513510683"},{"key":"e_1_2_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2010.09.005"},{"key":"e_1_2_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.12.004"},{"key":"e_1_2_3_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-094302"},{"key":"e_1_2_3_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-022-09745-8"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X25000434?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X25000434?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2025.101117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2025.101117","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2025.101117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:15:10Z","timestamp":1773566110000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2025.101117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,13]]},"references-count":36,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1016\/j.asmr.2025.101117"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2025.101117","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,13]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Sensitivity and Specificity for Physical Examination Tests in Diagnosing Prearthritic Intra-Articular Hip Pathology Are Highly Variable: A Systematic Review","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2025.101117","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"101117"}}