In 39 patients with pelvic injury, four clinical tests were performed
during physical examination. Of these four tests; the positive and neg
ative hip flexion test (active flexion of the hip with extension of th
e knee) had the highest predictive value for the presence (95 per cent
) or the absence of pelvic fractures (90 per cent), respectively. The
Predictive values of the other three tests (downward compression an th
e pubic bone, compression on the iliac rings, and distraction pressure
on the iliac crests) were considerably lower. Copyright (C) 1996 Else
vier Science Ltd.