Anterior Labral Tear Test (Flexion, Adduction, and Internal Rotation) FADDIR TEST

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed

Purpose

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

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

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

References

  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