FADIR (Flexion, Adduction, Internal Rotation) Test: Difference between revisions

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'''Step 3.''' Adduct the hip with combined Internally rotation of the hip.
'''Step 3.''' Adduct the hip with combined Internally rotation of the hip.


'''Step 4.''' A positive test is indicated by the production of pain, the reproduction of the patient’s symptoms with or without a click, or apprehension.
'''Step 4.''' A positive test is indicated by the production of pain in the groin, the reproduction of the patient’s symptoms with or without a click, or apprehension.
 
=== Evidence ===
FADDIR test had sensitivities  ranging from 0.94 to 0.99  for the diagnosis of hip femoroacetabular impingement or labral tear.<ref>Reiman MP, Goode AP, Cook CE, Hölmich P, Thorborg K. Diagnostic accuracy of clinical tests for the diagnosis of hip femoroacetabular impingement/labral tear: a systematic review with meta-analysis. ''Br J Sports Med''. 2015;49(12):811. doi:10.1136/bjsports-2014-094302</ref><ref>Caliesch R, Sattelmayer M, Reichenbach S, Zwahlen M, Hilfiker R. Diagnostic accuracy of clinical tests for cam or pincer morphology in individuals with suspected FAI syndrome: a systematic review. ''BMJ Open Sport Exerc Med''. 2020;6(1):e000772. Published 2020 Apr 27. doi:10.1136/bmjsem-2020-000772</ref>


<div class="row"><div class="col-md-6"> {{#ev:youtube|vYfrorPzESI|300}} <div class="text-right"><ref>Special/Orthopedic Test for the Hip - FADIR (Flexion, Adduction, Internal Rotation) Test.  
<div class="row"><div class="col-md-6"> {{#ev:youtube|vYfrorPzESI|300}} <div class="text-right"><ref>Special/Orthopedic Test for the Hip - FADIR (Flexion, Adduction, Internal Rotation) Test.  
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=== Evidence ===
=== Evidence ===
 
FADDIR test had sensitivities ranging from 0.95 to 0.96  for the diagnosis of hip femoroacetabular impingement or labral tear.<ref>Leibold MR, Huijbregts PA, Jensen R. Concurrent criterion-related validity of physical examination tests for hip labral lesions: a systematic review. ''J Man Manip Ther''. 2008;16(2):E24-E41. doi:10.1179/jmt.2008.16.2.24E</ref><div class="row">
== References  ==
== References  ==
#David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
#David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
<references />
<references />

Revision as of 15:59, 16 August 2020

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed, Trista Chan, Lilian Ashraf and Kim Jackson

Purpose[edit | edit source]

The FADDIR test (flexion, adduction, internal, rotation) is used for examine the Femoroacetabular impingement syndrome, anterior labral tear and liopsoas tendinitis.[1]

This test is also called Anterior apprehension test.

Technique[edit | edit source]

Step 1. Patient is in supine position.

Step 2. Affected hip fully flexed or 90 degree flexion.

Step 3. Adduct the hip with combined Internally rotation of the hip.

Step 4. A positive test is indicated by the production of pain in the groin, the reproduction of the patient’s symptoms with or without a click, or apprehension.

[2]
[3]

Evidence[edit | edit source]

FADDIR test had sensitivities ranging from 0.95 to 0.96 for the diagnosis of hip femoroacetabular impingement or labral tear.[4]

References[edit | edit source]

  1. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  1. ↑ David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  2. ↑ Special/Orthopedic Test for the Hip - FADIR (Flexion, Adduction, Internal Rotation) Test. Brent Brookbush. Available from: https://youtu.be/vYfrorPzES
  3. ↑ FADDIR Test. Vince Isaac. Available from: https://youtu.be/osQMAWOYTuo
  4. ↑ Leibold MR, Huijbregts PA, Jensen R. Concurrent criterion-related validity of physical examination tests for hip labral lesions: a systematic review. J Man Manip Ther. 2008;16(2):E24-E41. doi:10.1179/jmt.2008.16.2.24E
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