Overview
This lecture explains the Faber (Patrick's or Figure Four) test, its procedure, and how to interpret positive and negative results for hip and SI joint pathology.
Faber (Patrick's) Test Explanation
- The Faber test examines hip and sacroiliac (SI) joint pathology.
- "Faber" stands for Flexion, Abduction, and External Rotation of the hip.
- Also known as Patrick's test or Figure Four test due to leg positioning.
- The patient’s leg is placed in a figure four position with the lateral malleolus just above the opposite knee.
- The examiner stabilizes the opposite hip and applies gentle downward pressure to the bent knee.
- The test is passive and performed by the examiner, not the patient.
Test Findings & Interpretation
- A positive Faber test shows increased hip flexion or reduced range compared to normal.
- Pain or discomfort location helps identify pathology:
- Groin or anterior hip pain suggests possible hip flexor pathology.
- Pain in the SI (sacroiliac) or buttock region may indicate SI joint dysfunction, often unilateral.
- Deep hip pain on pressure may suggest intra-articular hip pathology, such as labrum issues or arthritis.
- A negative test occurs when the thigh comes parallel to the table with little or no discomfort.
Key Terms & Definitions
- Faber Test — Clinical test for hip and SI joint pathologies involving Flexion, Abduction, and External Rotation.
- SI Joint — Sacroiliac joint, connecting the sacrum to the pelvis.
- Figure Four Position — Position where the tested leg is flexed, abducted, and externally rotated, forming a "4".
Action Items / Next Steps
- Practice the Faber test on peers to identify positive and negative signs.
- Review anatomy of the hip and SI joints for better understanding of test implications.