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FABER Test
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Contents
Other Names
- Flexion-Abduction-External Rotation Test
- Patrick's Test
Purpose
Illustration of FABER test[1]
- This test is designed to evaluate pathology of the hip, lumbar and sacroiliac region
- It involves flexion, abduction and external rotation (FABER) of the joint
Description
- The patient is supine on the examination table
- The leg is placed in the "figure 4" position: hip is flexed, externally rotated and the ankle is placed on the contralateral leg
- The examiner stabilizes the contralateral hip at the ASIS and applies compression to the ipsilateral knee
- Positive Test
- Pain or restriction in range of motion
Pathology
- Sacroiliac Joint Pain
- Iliopsoas Muscle Strain
- Iliopsoas Bursitis
- Femoral Acetabular Impingement
- Acetabular Labral Tear
- Hip loose bodies
- Hip chondral lesion
- Hip Osteoarthritis
- Ankylosing Spondylitis
- Sacral Stress Fracture
- Greater Trochanteric Pain Syndrome
- Snapping Hip Syndrome
Evidence
Acetabular Labral Tear
- Labral Tear (compared to MR)[2]
- Sensitivety: 41%
- Specificity: 100%
- PPV: 100%
- NPV: 9%
- Labral tear compared to positive hip arthroscopy [3]
- Sensitivity: 90%
Sacroiliac Joint Pain
- Broadhurst et al: When FABER Test, Resisted Abduction Test and Posterior Shear Test used in combination[4]
- Sensitivity: 77-87%
- Specificity: 100%
Femoroacetabular Impingement
- Martin et al[5]
- Sensitivity: 60%
- Specificity: 18%
Greater Trochanteric Pain Syndrome
- When compared to MRI confirmed findings[6]
- Sensitivity: 30%
- Specificity: 86.7%
- PPV: 88.2%
- NPV: 27.1%
- LR+: 2.25
- LR-: 0.80
See Also
Back
Hip
References
- ↑ Bernstein, Robert M., and Harold Cozen. "Evaluation of back pain in children and adolescents." American family physician 76.11 (2007): 1669-1676.
- ↑ Troelsen A, Mechlenburg I, Gelineck J, Bolvig L, Jacobsen S, Søballe K. What is the role of clinical tests and ultrasound in acetabular labral tear diagnostics? Acta Orthop. 2009 Jun;80(3):314-8.
- ↑ B, McCroy P, Brukner P, et al. Hip joint pathology: Clinical presentation and correlation between magnetic resonance arthrography, ultrasound, and arthroscopic findings in 25 consecutive cases. Clin J Sports Med. 2003;(13):152-156
- ↑ Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J. Spinal Disord. 11(4), 341-345 (1998).
- ↑ Martin RL, Irrgang JJ, Sekiya JK. The diagnostic accuracy of a clinical examination in determining intra-articular hip pain for potential hip arthroscopy candidates. Arthroscopy. 2008;24:1013–1018.
- ↑ Grimaldi A, Mellor R, Nicolson P, Hodges P, Bennell K, Vicenzino B. Utility of clinical tests to diagnose MRI-confirmed gluteal tendinopathy in patients presenting with lateral hip pain. Br J Sports Med. 2017;51(6):519-524. doi:10.1136/bjsports-2016-096175
Created by:
John Kiel on 25 July 2019 12:56:04
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Last edited:
13 July 2021 12:30:02
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