Test: Quadrant (Scouring) Test

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Background/Purpose

This test is known by several different names including hip scouring, FADIR (Flexion-Adduction-Internal Rotation) and quadrant test.
It is used to assess the morphology of the hip joint but it has been shown to be non specific for pathology. The movements create load on the tissues around the joint as well as the joint itself. It can also cause impingement of the femoral neck against the acetabular rim. (Maitland 1973).

Procedure

The clinician flexes and adducts the patient's hip so that the hip faces the patient's opposite shoulder and resistance to the movement is felt. As slight resistance is maintained the patient's hip is taken into abduction while maintaining flexion in an arc of movement. As the movement is performed the clinician should look for any irregularity in the movement as well as pain or patient apprehension. This may give an indication of where the pathology is occurring in the hip.

Performed: Unilaterally

Dialog

Flexion- Adduction-Internal rotation of the hip is performed and then rotated through an arc to abduction.

Criteria

• Smooth motion
• No pain or apprehension

Measurement

0.00

LOINC Code

0

Scale/Grading

Pass/Fail