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FABER Test

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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


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

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

  1. Bernstein, Robert M., and Harold Cozen. "Evaluation of back pain in children and adolescents." American family physician 76.11 (2007): 1669-1676.
  2. 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.
  3. 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
  4. Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J. Spinal Disord. 11(4), 341-345 (1998).
  5. 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.
  6. 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
Authors:
Last edited:
13 July 2021 12:30:02
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