Hip Intra-Articular / Impingement Evidence: confirmed

FADDIR Test Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

FADDIR Test Orthopedic Special Test

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.