Comment on Smeets et al.: ‘The patellar pubic percussion test: a simple bedside tool for suspected occult hip fractures’
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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 . 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.
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The author declares that he has no conflict of interest.
- 1.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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