The e-Quadrant test for telemedicine assessment of symptomatic articular hip pathology

Patrick Weinrauch 1,2,3,Lucian Quach 4, Ian Smith 3

  1. Brisbane Hip Clinic, Queenland, Australia  
  2. School of Medicine, Griffith University, Queensland, Australia
  3. St Andrews War Memorial Hospital, Queensland, Australia
  4. The Prince Charles Hospital Chermside, Queensland, Australia 

Copyright © 2015 P. Weinrauch. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

PDF: The e-Quadrant Test For Telemedicine Assessment Of Symptomatic Articular Hip Pathology_IJAJR 2015

ABSTRACT 

We present a useful physical examination test for the clinical evaluation of symptomatic hip pathology that can be administered by telemedicine video conferencing. The basis of the e-Quadrant test is the reproduction of a patient’s typical symptoms of mid-inguinal groin discomfort when the hip is positioned into deep flexion when combined with adduction and internal rotation. Evaluated by randomized controlled trial, the sensitivity of the e-Quadrant test was demonstrated as 87% with a specificity of 79% and an overall accuracy of 82%. In practice, the e-Quadrant test is intended to be an adjunct to a comprehensive clinical evaluation, considering also other relevant information obtained from the patient’s presenting history, radiology imaging and pathology testing as well as other physical examination tests where required.

 

KEYWORDS 

Telemedicine, Hip Pathology, Assessment, Video, Skype.