Examination componentFindings and interpretation
Inspection of hipsAsymmetry suggests SI joint dysfunction or leg-length discrepancy, either of which can cause SI joint pain, pubic symphysis pain, or muscle strain
Palpation of bone landmarks and musclesTenderness indicates that tissue is involved. Tenderness over the greater trochanter suggests trochanteric bursitis, which can coincide with intra-articular hip disorder; mass suggests tumor
Range of motion (flexion, extension, abduction, adduction, internal and external rotation)Assess for pain; localize pain
Pain in a stretched muscle indicates strain; pain in groin suggests intra-articular hip disorder; pain with slight motion is concerning for septic arthritis
Passive (examiner moves the hip)
Active (patient moves)
Resisted (examiner resists motion to test muscle strength)
Limitation of motion reflects severity of condition; pain helps to localize source of pain
Weakness or pain in muscle suggests strain
Patrick (FABER) testGroin pain indicates an iliopsoas strain or an intra-articular hip disorder; SI pain indicates SI joint disorder; posterior hip pain suggests posterior hip impingement
FADIR testReproducing the patient's anterolateral hip pain is consistent with FAI
Log roll (examiner rolls the supine leg back and forth)Groin pain suggests an intra-articular disorder; posterior pain suggests posterior muscle strain
Patient hops on the involved legPain can occur with strain, FAI, or other intra-articular disorder, but is concerning for hip stress fracture
Examination of lower back, abdomen, and pelvisCertain conditions can refer pain to the hip; check for fever or tachycardia, which suggest septic arthritis