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. SlullitelEmail author
Letter to the Editor

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...


Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.


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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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