Pain in the anterior hip or groin during FADIR test suggests what?

• A. Labral pathology or femoroacetabular impingement
• B. Hamstring strain
• C. Sacroiliac joint dysfunction
• D. Knee osteoarthritis

Answer: (A)

Pain in the anterior hip or groin during the FADIR maneuver points to intra-articular hip pathology, most notably acetabular labral tear or femoroacetabular impingement (FAI). The FADIR position—flexion, adduction, and internal rotation—pushes the femoral head-neck against the acetabular rim. If an abnormal contact from cam or pincer deformities or a torn labrum is present, this contact reproduces the groin pain you feel in that anterior hip region.

Hamstring strains usually cause pain in the posterior thigh and are driven by resisted knee flexion or hip extension, not by this hip-internal-rotation position. Sacroiliac joint dysfunction tends to produce pain around the SI region or buttock and is provoked by movements stressing the pelvis, rather than a classic anterior groin pain from hip impingement. Knee osteoarthritis presents with knee symptoms, not isolated anterior hip/groin pain on hip provocative testing.