Fulcrum test for femoral stress fracture

The Fulcrum test is used to help detect a femoral stress fracture by creating stress at the suspected site of injury. To perform the test, the examiner places their forearm underneath the femur radial side up (photo A). The bony ridge along the radius acts as the fulcrum as pressure is applied to the knee. The examiner gradually moves their forearm proximally and repeats the maneuver (photo B). Pain at the hip marks a positive test.