Understanding the FADIR (Flexion, Adduction, Internal Rotation) Test Assessment
To provoke symptoms associated with **Femoroacetabular Impingement (FAI)**, particularly **Anterior/Pincer Impingement** or **Acetabular Labral Tears**.
Watch How It's Done
How do I start?
Patient is supine. The examiner passively flexes the hip to 90°.
What happens?
The hip is then moved into a combination of **maximal adduction** and **maximal internal rotation**.
In Plain English
What Does a Positive Result Mean?
The reproduction of the patient's characteristic **sharp groin or anterior hip pain**.
Helpful Tip:
This maneuver jams the femoral head into the anterior/superior acetabulum, stressing the labrum and joint capsule. It is highly sensitive for FAI.
Safety First
This guide is to help you understand what happens in a clinic. Do not try to diagnose yourself. If you have severe pain, swelling, or cannot put weight on your leg, please visit an urgent care center or your doctor immediately.
Other Hip Tests
Craig's Test (or Ryder's Test)
To determine the approximate amount of **femoral anteversion** (or retroversion) and assess for abnormal hip rotation alignment.
Ely's Test (Prone Rectus Femoris Contracture Test)
To assess for **tightness or contracture of the Rectus Femoris** muscle (a hip flexor and knee extensor).
Fulcrum Test
To screen for a **Stress Fracture of the Femoral Shaft**.
Hip Quadrant Test (or Scour Test)
To assess the integrity of the **articular surfaces of the hip joint** (femoral head and acetabulum) and detect defects like osteochondral lesions or loose bodies.