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Updated: Sep 24, 2025

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Resisted adduction sit-up test (RASUT) as a screening tool for pelvic versus hip pathology.

Gregory J Galano1, Timothy F Tyler2, Trevor Stubbs2

  • 1New York Orthopedics, 159 East 74 Street, New York, NY 10021, USA.

Journal of Hip Preservation Surgery
|May 4, 2022
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Summary

The resisted adduction with sit-up (RASUT) test effectively distinguishes between pelvic and hip pain causes. This screening tool aids sports medicine clinicians in diagnosing conditions like athletic pubalgia.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Diagnostic Imaging

Background:

  • Groin pain frequently stems from hip or pelvic issues, making accurate differentiation challenging.
  • Distinguishing between hip and pelvic pathology is crucial for effective patient management.
  • Athletic pubalgia, a specific pelvic condition, involves disruption of the pubic aponeurotic plate.

Purpose of the Study:

  • To evaluate the effectiveness of a combined resisted adduction and sit-up (RASUT) test in differentiating pelvic from hip pathology.
  • To assess the diagnostic accuracy of the RASUT for athletic pubalgia.

Main Methods:

  • The RASUT was performed on 160 patients presenting with hip or groin pain.
  • Patient diagnoses were confirmed using magnetic resonance imaging (MRI) or surgical findings.
  • Patients were classified into pelvic pathology (including athletic pubalgia) or hip pathology groups.

Main Results:

  • The RASUT demonstrated significant effectiveness in differentiating pelvic from hip pathology (P < 0.001).
  • A positive RASUT was more indicative of pelvic pathology (50/77 patients) compared to a negative test for hip pathology (29/83 patients).
  • The RASUT proved diagnostic for athletic pubalgia, with 78% sensitivity and 88% negative predictive accuracy.

Conclusions:

  • The RASUT serves as a valuable screening tool for sports medicine clinicians.
  • This test can reliably differentiate between pelvic and hip pathologies causing groin pain.
  • The RASUT aids in identifying patients without athletic pubalgia, streamlining the diagnostic process.