Hip
Intra-Articular / Impingement
Evidence: confirmed
FADDIR Test Special Test
Orthopedic Physical Examination & Clinical Assessment Guide
What is it used for?
- Diagnosing Femoroacetabular Impingement (FAI) and Anterior Labral Tears.
- FADDIR: Flexion, ADDuction, Internal Rotation.
How to Perform
- Position: Patient lies supine.
- Action: Flex the hip to 90°, then Adduct and Internally Rotate the hip.
Interpretation of Results
- Positive Test: Reproduction of groin pain, with or without a mechanical click.
Diagnostic Accuracy
- Sensitivity: 90-99% (Excellent screening test).
- Specificity: Low (False positives are common).
Clinical Context & Limitations
The FADDIR Test should be considered as one component of a comprehensive musculoskeletal assessment. No single special test has perfect diagnostic accuracy; thus, clinical decision-making should integrate test results with patient-reported symptoms, mechanism of injury, functional impairment, and relevant imaging.
Clinicians should be aware of potential false-positive results in patients with pain sensitisation, muscle guarding, or poor relaxation. For the Hip region, combining the FADDIR Test with complementary examination tests significantly improves overall diagnostic confidence.
References
- Magee, D. J. (2021). Orthopedic Physical Assessment.