Patrick Test

 Patrick Test

What is Patrick Test?

Patrick Test assist in diagnosis of pathologies at the hip, lumbar and sacroiliac joint. It is also known as the FABER sign (Flexion, ABduction, External Rotation) or figure of 4 test.

Patrick test was first described by Hugh Talbot Patrick, an American neurologist.

See Also: Pelvic Anatomy

How it’s Performed?

What does a positive Patrick Test mean?

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

Sarcoiliac joint pain on external hip rotation:

  1. Sacroiliac Joint Dysfunction.
  2. Sacroiliitis.

Groin pain on external hip rotation:

  1. Iliopsoas Strain or Iliopsoas Bursitis.
  2. 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.

Posterior hip pain on external hip rotation:

  1. Posterior hip impingement.

Sensitivity & Specificity

A systematic review 1 of the literature for Specificity, sensitivity, and predictive values of clinical tests of the sacroiliac joint, the sensitivity & specificity of Patrick test was as following:

Reference

  1. Kent Jason Stuber: Specificity, sensitivity, and predictive values of clinical tests of the sacroiliac joint: a systematic review of the literature. J Can Chiropr Assoc. 2007 Mar; 51(1): 30–41. PMID: 17657289.
  2. Campbel’s Operative Orthopaedics 13th Edition Book
  3. Clinical Tests for the Musculoskeletal System 3rd Edition Book.
  4. Dutton’s Orthopaedic Examination, Evaluation, And Intervention 3rd Edition Book.

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