FABER Test

Aka: FABER Test, FABERE Test, Patrick's Test, Patrick's Sign, Figure of Four Test

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II. Background: FABER Mnemonic

  1. Flexion
  2. ABduction
  3. External Rotation

III. See Also

  1. Hip Exam
  2. Sacroiliitis in Ankylosing Spondylitis
  3. Sacoiliac Joint Dysfunction (SI Joint Dysfunction)

IV. Indications

  1. Hip Pain
  2. Evaluation for Sacroiliac joint disease
    1. Sacroiliitis in Ankylosing Spondylitis
    2. Sacoiliac Joint Dysfunction (SI Joint Dysfunction)

V. Technique: External Hip Rotation

  1. Patient lies supine
    1. Knee on affected side flexed to 90 degrees
    2. Foot on affected side rests on opposite knee
  2. Examiner places one hand on opposite iliac crest
    1. Stabilizes Pelvis against table
  3. Examiner places one hand on knee of affected side
  4. Examiner externally rotates hip on affected side
    1. Knee pushed laterally and down
  5. Images
    1. OrthoHipFABER.jpg

VI. Interpretation

  1. SI Joint Pain on external hip rotation (Positive Patrick's Sign)
    1. Sacroiliac Joint Dysfunction
    2. Sacroiliitis
  2. Groin Pain on external hip rotation
    1. Iliopsoas Strain or Iliopsoas Bursitis
    2. Intraarticular Hip Disorder
      1. Hip Impingement (femoral acetabular impingement)
      2. Hip Labral Tear
      3. Hip loose bodies
      4. Hip chondral lesion
      5. Hip Osteoarthritis
  3. Posterior Hip Pain on external hip rotation
    1. Posterior Hip Impingement

VII. References

  1. Braly (2006) Clin Sports Med 199-210 [PubMed]
  2. Wilson (2014) Am Fam Physician 90(1): 27-34 [PubMed]

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