Hip Special Tests

Question 1

Tests for OA (3)

Answer 1

FABER
FADIR
Scour

Question 2

Tests for FAI (3)

Answer 2

FABER
FADIR

Not on practical:
Squat

Question 3

Tests for Labrum (6)

Answer 3

FABER
FADIR
Scour
Third
Fitzgerald’s FABER to EADIR
Fitzgerald’s FADIR to EABER

Question 4

Tests for GTPS (5)

Answer 4

FABER
Resisted ER Derotation
Trendelenberg

Not on practical:
Resisted ABD
Hip Lag Sign

Question 5

Tests for Athletic Pubalgia (1)

Answer 5

Not on practical:
bilateral adductor test

Question 6

Systemic Disease tests (3) & what they assess for

Answer 6

Murphy’s Percussion: kidney pathology.
McBurney’s Point: appendicitis
Iliopsoas Test: bursitis, abscess

Question 7

Piriformis Syndrome cluster (3)

Answer 7

1. Pain at Sciatic N/Piriformis in side-lying FAIR
2. TTP at Piriformis/Sciatic N
3. SLR <65° or 15° asymmetry from unaffected side

Question 8

FABER Procedure

Answer 8

Cross test leg over other leg, just above knee.
Push down to floor.

Question 9

FABER (+)

Answer 9

Pain
Pain posterior = SIJ
Pain anterior = labrum

Question 10

Scour Procedure

Answer 10

Supine, 90/90.
Axial load over knee.
Adduct hip, passively ER/IR.
Repeat with hip ABDucted.
Alternative: roll around in one big circle.

Question 11

Scour (+)

Answer 11

(+) = reproduction of s/s, crepitus, roughness, “bumps”

Question 12

FADIR Procedure

Answer 12

Flex hip >90.
PROM to end-range adduction & IR.

Question 13

Third Test Procedure

Answer 13

Hip flex 90, adduct 10.
Part 1: axial load thru knee & IR.
Part 2: distraction & IR.

Question 14

Third Test (+)

Answer 14

Pain in Part 1 (compression) and relief in Part 2 (distract)

Question 15

Resisted ER Derotation Procedure

Answer 15

Supine or long-sitting
PROM hip flex & ER.
Pt actively moves into IR against therapist resistance.

Question 16

Trendelenberg Procedure

Answer 16

SL stance on involved leg for 30sec.

Question 17

Trendelenberg (+)

Answer 17

unable to keep contra pelvis elevated

Question 18

Murphy’s Percussion Procedure

Answer 18

Prone.
Find lowest ribs, heel of hand cover kidney region. Bump over top of flat hand.

Question 19

Murphy’s Percussion (+)

Answer 19

Pain at kidney or hip

Question 20

McBurney’s Point Procedure

Answer 20

Supine.
On R side, btwn ASIS & umbilicus.
Sink fingertips vertically down, hold for a second, then come off.

Question 21

McBurney’s Point (+)

Answer 21

pain with pressure OR with recoil.
Check L side bc tenderness might be psoas

Question 22

Iliopsoas Test Procedure

Answer 22

Active SLR

Question 23

Iliopsoas Test (+)

Answer 23

pain in anterior iliopsoas region, usually at 20-30°

Question 24

Fitzgerald’s FABER > EADIR Procedure

Answer 24

Supine.
Start: Flex, ABD, ER.
PROM into Ext, Add, IR.

Question 25

Fitzgerald’s FABER > EADIR tests for

Answer 25

Anterior labral tear

Question 26

Fitzgerald’s FADIR > EABER Procedure

Answer 26

Supine.
Start: Flex, Add, IR.
PROM into Ext, ABD, ER.

Question 27

Fitzgerald’s FADIR > EABER tests for

Answer 27

Posterior labral tear