II. Indications
- Appendicitis Evaluation
III. Technique
- Patient lies supine with right thigh flexed 90 degrees
- Examiner immobilizes right ankle with right hand
- Left hand rotates right hip by:
- Pull right knee laterally (hip external rotation)
- Pull right knee medially (hip internal rotation)
- Left obturator/Pelvis examined in similar fashion
IV. Interpretation
- Indicates irritation of obturator Muscle
- Suggests pelvic abscess as seen in Appendicitis
V. Efficacy
- Positive Likelihood Ratio (children): 3.5
- Negative Likelihood Ratio (children): 0.73
VI. References
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Related Studies
Concepts | Sign or Symptom (T184) |
SnomedCT | 6292008 |
English | obturator signs, obturator sign, Obturator sign, Obturator sign (finding) |
Spanish | signo del obturador (hallazgo), signo del obturador |