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International Orthopaedics

, Volume 42, Issue 11, pp 2525–2526 | Cite as

Comment on Smeets et al.: ‘The patellar pubic percussion test: a simple bedside tool for suspected occult hip fractures’

  • Pablo A. Slullitel
Letter to the Editor
  • 23 Downloads

Dear Editor,

In the paper entitled ‘The patellar pubic percussion test: a simple bedside tool for suspected occult hip fractures’ published online on July 2018 in International Orthopaedics, Smeets et al. stated that the patellar pubic percussion test (PPPT) was a sensitive tool in the detection of clinically straight forward hip fractures as well as occult hip fractures, supporting the decision-making for additional imaging in case of potential occult pelvis or hip fractures [1]. Although this test has already been reported for the diagnosis of occult fractures of the hip [2, 3], this paper has accurately compared it with commonly used diagnostic tests such as leg position in bed, passive hip flexion as well as active hip flexion and pain during axial loading.

The results of this report are of great interest for physicians and non-physicians working at emergency departments, especially in the absence of an active ‘on call’ orthopaedic surgeon and/or unavailability of complex...

Notes

Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.

References

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    Smeets SJM, Vening W, Winkes MB, et al (2018) The patellar pubic percussion test: a simple bedside tool for suspected occult hip fractures. Int Orthop 1–4. doi:  https://doi.org/10.1007/s00264-018-4036-2
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    Adams SL, Yarnold PR (1997) Clinical use of the patellar-pubic percussion sign in hip trauma. Am J Emerg Med 15:173–175.  https://doi.org/10.1016/S0735-6757(97)90095-4 CrossRefPubMedGoogle Scholar
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    Tiru M, Goh SH, Low BY (2002) Use of percussion as a screening tool in the diagnosis of occult hip fractures. Singap Med J 43:467–469.  https://doi.org/10.1016/S0196-0644(99)80235-2 CrossRefGoogle Scholar
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    Segat M, Casonato O, Margelli M, Pillon S (2016) Is the patellar pubic percussion test useful to diagnose only femur fractures or something else? Two case reports. Man Ther 21:292–296.  https://doi.org/10.1016/j.math.2015.08.010 CrossRefPubMedGoogle Scholar
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    Grammatopoulos G, McCarthy C, Carli A, Gofton W (2018) Occult fractures around the hip. Br J Hosp Med 79:C60–C64.  https://doi.org/10.12968/hmed.2018.79.4.C60 CrossRefGoogle Scholar
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    Hossain M, Akbar SA, Andrew G (2010) Misdiagnosis of occult hip fracture is more likely in patients with poor mobility and cognitive impairment. Acta Orthop Belg 76:341–346PubMedGoogle Scholar

Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  1. 1.Hip Surgery Unit, Institute of Orthopaedics ‘Carlos E. Ottolenghi’Italian Hospital of Buenos AiresBuenos AiresArgentina
  2. 2.Division of Orthopaedic SurgeryThe Ottawa HospitalOttawaCanada

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