Patrick Test

Patrick Test Assist in diagnosis of pathologies at the hip, lumbar and sacroiliac joint, it's also known as…
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 Patrick Test

What is Patrick Test?

  • Patrick Test assist in diagnosis of pathologies at the hip, lumbar and sacroiliac joint.

  • Patrick Test is also known as the FABER sign (Flexion, ABduction, External Rotation) or figure of 4 test.

How it's Performed?

  • The patient is supine with one leg extended and the other flexed at the knee.
  • The lateral malleolus of the flexed leg lies across the other leg superior to the patella.
  • The test may also be performed so that the foot of the flexed leg is in contact with the medial aspect of the knee of the contralateral leg.
  • The flexed leg is then allowed to fall into abduction, and from this position the examiner increases the external rotation by increasingly pressing the patient’s knee down toward the examining table with one hand.
  • The examiner must immobilize the pelvis on the extended contralateral side to prevent it from moving during the test.

What does a positive Patrick Test mean?

Patrick Test (FABER sign) is positive in these situations:

  1. Sarcoiliac joint pain on external hip rotation:
    • Sacroiliac Joint Dysfunction.
    • Sacroiliitis.
  2. Groin pain on external hip rotation:
    • Iliopsoas Strain or Iliopsoas Bursitis.
    • Intraarticular hip disorder:
      1. Hip Impingement (femoral acetabular impingement FAI).
      2. Hip Labral Tear.
      3. Hip loose bodies.
      4. Hip chondral lesion.
      5. Hip Osteoarthritis.
  3. Posterior hip pain on external hip rotation:
    • Posterior hip impingement.

Sensitivity & Specificity

  • Sensitivity: 69-77 %
  • Specificity: 100 %

Reference

  • Orthobullets
  • Campbel's Operative Orthopaedics 13th Book
  • Clinical Tests for the Musculoskeletal 3rd Ed. Book

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