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What is the Faber hip test?

Published in Hip Examination 2 mins read

The Faber hip test, also known as the figure-four or Patrick's test, is a physical examination used to assess for limitations in hip range of motion.

How is the Faber Test Performed?

Here's a breakdown of how the test is administered, according to the provided YouTube reference:

  • Patient Position: The patient lies on their back (supine position).
  • Leg Placement: The leg being tested is bent and the ankle is placed on top of the opposite knee, forming a figure-four shape (hence the name "figure-four test").
  • Assessment: The examiner observes and notes any limitations in hip motion during this maneuver, which could suggest hip joint pathology.

What Does the Faber Test Indicate?

A positive Faber test, indicated by pain or a restricted range of motion in the hip joint or groin, can potentially point towards the following:

  • Hip Joint Issues: This could include problems such as hip osteoarthritis, femoroacetabular impingement (FAI), or labral tears.
  • Sacroiliac Joint Dysfunction: Pain in the sacroiliac (SI) joint area during the test might indicate a problem with the SI joint.
  • Muscular Issues: Tightness or pain in the surrounding muscles can also contribute to a positive result.

Key Points:

  • The test assesses hip range of motion, specifically external rotation, abduction, and flexion (hence Flexion, ABduction, and ERternal rotation - FABER).
  • The reference video refers to it as a test for the limitation of hip range of motion.
  • A positive result requires further clinical assessment and imaging to determine the cause of hip pain.