FADIR (Flexion, Adduction, Internal Rotation) Test

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, the reproduction of the patient’s symptoms with or without a click, or apprehension

Evidence[edit | edit source]

FADDIR test had sensitivities ranging from 0.94 to 0.99 for the diagnosis of hip femoroacetabular impingement or labral tear.[2][3]

Evidence[edit | edit source]

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. 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
  3. 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
  4. Special/Orthopedic Test for the Hip - FADIR (Flexion, Adduction, Internal Rotation) Test. Brent Brookbush. Available from: https://youtu.be/vYfrorPzES
  5. FADDIR Test. Vince Isaac. Available from: https://youtu.be/osQMAWOYTuo