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The poor diagnostic accuracy of clinical tests for the hip and groin adds to the challenge of correctly differentiating the source of pain. A recent systematic review supports the usefulness of the FADIR test as a screening tool (2).
I get asked about the utility of hip and groin tests all the time. The short answer is there’s a big overlap across clinical tests and key pain drivers. No test is particularly specific and some are sensitive.
The hip joint should be considered as a cause of groin pain and should be assessed in athletes with groin pain. Objective examination which includes passive range of motion and hip special tests (Flexion-abduction-external rotation ( FABER ) and Flexion-adduction-internal rotation (FADIR) test) should be performed in all athletes who present ...
A positive test is hip or groin pain. The log roll test is an easy examination trick to help evaluate the hip joint as a cause of the patients pain. The patient is supine with hip and knee extended into a neutral position. The examiner grasps the mid thigh and calf.
1. FADDIR test (Flexion Adduction Internal Rotation) This is my ‘go-to’ test alongside the ‘hop’ and should be the first test done in supine. If this is negative, then it’s unlikely the joint is driving the pain (e.g. Femoral acetabular impingement, labral tear, OA, avascular necrosis).
6 mar 2018 · Hip-related intra-articular pathology is a possible cause of groin pain in athletes. 31 Clinical tests work best as screening tests, with negative tests assisting in ruling out intra-articular hip pathology.
Thus, the adductor squeeze test can be used as a screening tool to detect adductors muscle weakness and decrease the risk of groin injuries. Technique [edit | edit source] The test is performed in 3 positions which are 0°, 45° and 90° of hip flexion, with the patient lying supine.
