Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

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J.A. Greenberg
Table 4.2. Clinical maneuvers for physical examination of the hip [ 1 , 10 , 22 – 25 ].
Maneuver Examination procedure Results
Dynamic internal rotary
impingement
Dynamic external rotary
impingement
Patient is laid supine with the contralateral leg flexed
beyond 90° at the hip. The ipsilateral hip is flexed to
90° and passively taken through a wide arc of
adduction and internal rotation
Patient is laid supine with the contralateral leg flexed
beyond 90° at the hip. The ipsilateral hip is flexed to
90° and passively taken through a wide arc of
abduction and external rotation
Possible diagnoses
Pain Femoroacetabular
impingement
Labral tears
Pain Femoroacetabular
impingement
Labral tears
Log roll In the supine position, the leg is internally and externally rotated
Pain and guarding Synovitis
Septic joint
Heel strike In supine position, the heel is struck firmly Pain Femoral neck stress fracture
Foveal distraction With the patient supine, the leg is actively abducted to Relief of pain Intra-articular hip injury
30° and the leg is pulled away from the body
Patrick’s test (FABER) In the supine position, the hip is flexed, abducted, and Pain Sacroiliac joint pathology
externally rotated until the lateral heel is proximal to
the contralateral knee. The ipsilateral leg is then
lowered towards the table
McCarthy In the supine position, the hip is moved from maximal
flexion, adduction, and internal rotation to full
extension. This is repeated with the hip starting in full
abduction as well
Pain in a specific
position
Acetabular labral tear