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Patrick’s test is used to detect hip and sacroiliac joint pathology. This test is also known as the Figure-Four test and by two acronyms, FABERE, which stands for flexion, abduction, external rotation and extension, or simply FABER, which excludes the reference to extension.
To perform this test, the patient is in the supine position with the involved limb in a ‘figure of 4’ position, with the ankle resting immediately above the patella of the opposite limb. Place one hand over the medial side of the knee and the other over the front of the iliac crest on the opposite side. Gradually press down on the knee while the other hand provides a counter pressure and stabilizes the pelvis on the table.
The test is considered positive for hip pathology if the patient complains of pain in the groin. Hip involvement can also result in pain felt in the buttocks, anteromedial thigh, or medial knee.
The test is considered positive for sacroiliac pathology if the patient complains of pain in the posterior pelvis. Sacroiliac joint involvement can also result in pain felt in the posterior thigh, leg, or groin.
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