Hip Structural / Osseous Evidence: confirmed

Craig's Test (Ryder Method) Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

Craig's Test (Ryder Method) Orthopedic Special Test

What is it used for?

  • Measuring Femoral Anteversion (internal twist of the femur).

How to Perform

  • Position: Patient lies prone with knee flexed to 90°.
  • Action: Palpate the greater trochanter while rotating the hip. Find the point where the trochanter is most prominent laterally (parallel to table).

Interpretation of Results

  • Normal: 8-15° of internal rotation.
  • Anteversion: >15° (Associated with "toeing in").
  • Retroversion: <8° (Associated with "toeing out").

Diagnostic Accuracy

  • Highly accurate when compared to intraoperative measurements.

Clinical Context & Limitations

The Craig's Test (Ryder Method) should be considered as one component of a comprehensive musculoskeletal assessment. No single special test has perfect diagnostic accuracy; thus, clinical decision-making should integrate test results with patient-reported symptoms, mechanism of injury, functional impairment, and relevant imaging.

Clinicians should be aware of potential false-positive results in patients with pain sensitisation, muscle guarding, or poor relaxation. For the Hip region, combining the Craig's Test (Ryder Method) with complementary examination tests significantly improves overall diagnostic confidence.

References

  • Magee, D. J. (2021). Orthopedic Physical Assessment.