Pooled diagnostic properties and for the diagnosis of labral tear, femoral fracture and gluteal tendinopathy
Diagnostic test | Number studies sample size (n) | SN (95% CI) | SP (95% CI) | -LR (95% CI) | +LR (95% CI) | DOR (95% CI) |
---|---|---|---|---|---|---|
Labral Tear | ||||||
FADDIR (MRA) | 4 (n=128)40 41 43 44 | 94 (88 to 97)* | 8 (2 to 20)* | 0.48 (0.20 to 1.16) | 1.02 (0.96 to 1.08) | 4.28 (0.63 to 29.09) |
FADDIR (Arthroscopy) | 2 (n=157)42, 43 | 99 (95 to 100) | 7 (0 to 34) | 0.15 (0.01 to 2.24) | 1.06 (0.92 to 1.21) | 7.27 (0.42 to 125.60) |
Flexion IR | 3 (n=42)45–47 | 96 (82 to 100) | 17 (12 to 54) | 0.27 (0.03 to 2.34) | 1.12 (0.83 to 1.51) | 4.23 (0.38 to 47.28) |
Femoral Fracture | ||||||
Patellar-Pubic Percussion | 3 (n=782)50–52 | 95 (92 to 97) | 86 (78 to 92) | 0.07 (0.03 to 0.13) | 6.11 (3.73 to 10.03) | 96.42 (36.34 to 255.87) |
Gluteal Tendinopathy | ||||||
Trendelenburg | 3 (n=78)56–58 | 61 (46 to 75)* | 92 (83 to 97) | 0.25 (0.02 to 3.15)* | 6.83 (1.64 to 28.46)* | 26.46 (1.92 to 365.23)* |
Resisted Hip Abduction | 2 (n=79)56–58 | 71 (51 to 87) | 84 (71 to 93)* | 0.37 (0.20 to 0.69) | 5.50 (0.13 to 241.25)* | 13.24 (0.36 to 484.13)* |
DerSimoninian-Laird random-effects models used throughout.
↵* indicates those properties demonstrating significant heterogeneity (p<0.10).
DOR, diagnostic OR; FADDIR, flexion, adduction, internal rotation test; LR+, positive likelihood ratio; LR-, negative likelihood ratio; SN, sensitivity (%); SP, specificity (%).