Hip Ortho Tests Flashcards
FAIR/FADIR Test Technique
Flexion, Adduction, Internal Rotation
Aim: To assess for articular pathology of hip
Action: -Supine. -Hip and Knee flexed to 90. -Hip internal rotation applied, whilst supporting lateral aspect of knee. -Adduct the hip
+ve: pain/apprehension + reproduction of symptoms:
-pain in groin=suspected articular pathology/psoas bursitis. If clicking, labrum involved
-Pain in buttock= piriformis syndrome
FABER test (Patrick’s test, figure-4 test) TECHNIQUE
Flexion, Abduction, External Rotation
Aim: to assess for articular pathology, SIJ dysfunction, stress to iliopsoas tendon, and stress to lumbar spine.
Action: -Supine, with hip flexed and externally rotated to lateral aspect of ankle is positioned superior to opposite knee. - If too painful then reduce abduction by moving foot more into midline. - Apply gentle pressure to medial knee to assess ROM and end feel
+ve test: -Reproduction of pain/apprehension. -ROM/Instability. If knee lowers to same height as opposite knee or ROM is same as opposite side, this is considered ‘normal’.
Scour test technique
Aim: To assess underlying articular pathologies of the hip such as labral tears
Action: -Supine, hip flexed to 90 and adducted. -My fingers interlock around medial aspect of tibia and femur, and compress into chest. -Sink down with bodyweight slowly and progressively, compressing longitudinal femur. -Small rotational movements and shifts into hip flexion and extension are made to ‘scour the joint’ in its ENTIRETY
+ve: Reproduction of symptoms, clicking, apprehension, and/or pain
Thomas’ test technique
Aim: to assess for fixed flexion deformity, and assess length of rectus femoris, iliacus/psoas, TFL and ITB
Action: -supine, pt flexes the unaffected leg and clasps around the knee to maintain neutral spine. -Affected thigh is observed in positioning, with a healthy thigh remaining flat on the table. -A flexion deformity/soft tissue contracture will lead to the affected thigh being lifted off the couch. Also observe the lumbar spine to see whether it lifts = could indicate iliopsoas shortening
+ve: Affected thigh flexes up or cannot remain in extension. If practitioner attempts to extend hip, there may be a stretching sensation, or increased lumbar lordosis
Trendelenburg test TECHNIQUE
Aim: Test stability of pelvic/hip complex and strength of hip abductors
Action: -Patient standing. Pt then stands on one leg, with op observing stability of the pelvis over at least 30 seconds.
+ve: -Drop in the pelvis on non-weight bearing side as a result of gluteal weakness. Weakness is a true positive test, NOT PAIN.
-Pt may sidebend towards weight bearing leg to compensate if gluteal weakness is present
