Craig's Test |
Examination type |
Postural Assessment |
Patient & Body Segment Positioning |
lying prone
with knee flexed at 90 degrees |
Examiner Position |
standing on
affected side of patient |
Tissues
Being Tested |
The degree of forward projection of the femoral neck from the
coronal plane of the shaft. |
Performing the Test |
Examiner
palpates the posterior aspect of the greater trochanter The
therapist positions the lower extremity at the point in which
the greater trochanter is most prominent laterally (determined
by internally or externally rotating the femur). Using a
goniometer with the stationery arm perpendicular to the floor
(representative of the femoral neck axis) and the moving arm in
line with the shaft of the tibia (representative of the line
between the femoral condyles) the therapist can determine the
angle of torsion. The degree of
anteversion can then be estimated, based on the lower leg's
angle with the vertical. |
Positive Test |
If
measures femoral anteversion or
forward torsion of the femoral neck. |
Interpretation |
Decreases with age from about 300 at birth to about 80
to 150 at adulthood. Increased anteversion leads to
squinting patellae & pigeon toed walking. Twice as common in girls. Common
to also find excessive hip internal rotation (>600) &
decreased external rotation. |
Common errors in
performing exam |
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Factors possibly
resulting in misinterpretation |
If
neurological signs (i.e., pain, paresthesia) occur during test,
consider pathology affecting the femoral nerve. Also, if
tenderness over the greater trochanter exists, consider possible
trochanteric bursitis. |
Related tests |
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References |
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Links: |
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