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

Evidence[edit | edit source]

FADDIR test had sensitivities ranging from 0.95 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