Hip Orthopaedic Test: Adductor Squeeze Test

The Adductor Squeeze Test is a physical examination maneuver used to assess the integrity and strength of the adductor muscles of the hip. 

Patient Position: The patient should be lying supine (on their back) on an examination table with their knees bent and feet flat on the table.

Examiner Position: The examiner stands at the side of the table, facing the patient's feet.

Test Procedure:

• The examiner places one hand on the patient's knee on the side being tested, and the other hand on the contralateral knee to provide stabilization.
• The examiner instructs the patient to "squeeze your knees together as hard as you can."
• The examiner applies resistance to the patient's knees, attempting to pull them apart, while the patient simultaneously tries to squeeze their knees together.
• The examiner assesses the strength of the adductor muscles by evaluating the patient's ability to resist the applied resistance and maintain their knees squeezed together.

Test Interpretation: The Adductor Squeeze Test is considered positive if the patient is unable to maintain their knees squeezed together against the applied resistance, which may indicate weakness or injury of the adductor muscles.

References:

1. Magee, D.J. (2013). Orthopedic Physical Assessment. (6th ed.). Saunders.
2. Hoppenfeld, S. (2016). Physical Examination of the Spine and Extremities. (2nd ed.). Wolters Kluwer.
3. Clinical Orthopaedic Society. (2017). The Hip. In: Magee DJ, Zachazewski JE, Quillen WS, et al., editors. Orthopaedic Physical Therapy Secrets. (3rd ed.). Elsevier.
4. American Academy of Orthopaedic Surgeons. (2014). Orthopaedic Knowledge Update: Hip and Knee Reconstruction. American Academy of Orthopaedic Surgeons.