Hip Orthopaedic Test: FADIR Test

The FADIR (Flexion, Adduction, and Internal Rotation) test is a physical examination technique used to assess for hip joint pathology, such as femoroacetabular impingement (FAI) or labral tears. Here are the steps to perform the FADIR test:

1. Have the patient lie down on their back on the examination table.

2. Flex the patient's affected hip to 90 degrees.

3. Adduct the hip, bringing the knee towards the midline of the body.

4. Internally rotate the hip, rotating the knee towards the opposite leg.

5. Apply downward pressure on the affected knee, pushing it towards the examination table.

6. Observe the patient's face for any signs of pain or discomfort, and note any limitations in range of motion or joint mobility.

If the patient experiences pain or discomfort in the hip joint during the test, this may indicate hip joint pathology such as FAI or labral tears.

References:

1. Muscolino, J. E. (2016). The Muscle and Bone Palpation Manual with Trigger Points, Referral Patterns, and Stretching. Elsevier Health Sciences. ISBN-13: 978-0323221962.
2. Magee, D. J. (2013). Orthopedic Physical Assessment. Saunders. ISBN-13: 978-1455709779.
3. Hoppenfeld, S. (1976). Physical Examination of the Spine and Extremities. Prentice Hall. ISBN-13: 978-0838578537.
4. American Academy of Orthopaedic Surgeons (AAOS). (2012). Orthopaedic Knowledge Update: Hip and Knee Reconstruction 4. American Academy of Orthopaedic Surgeons. ISBN-13: 978-0892038420.