Special test for labral lesions of the hip :

• Acetabular labral tears rarely occur without some structural osseous abnormality often accompanied by a history of the patient repeatedly going into extreme ranges of motion especially rotation.
• These tears may be accompanied by damage to the acetabular cartilage.
• These tests are applied by to doctor or therapist to check the labral tear of the hip.
• These tests are applied to the examination part of the assessment.

Name of this special test:

1. Anterior Labral Tear Test
2. Posterior Labral Tear Test

Purpose of both special tests:

• This test is used to check the labral lesions of the hip.
• This test is used to for examine the Femoroacetabular impingement syndrome, iliopsoas tendinitis,anterior labral tear&anterior superior impingement syndrome = Anterior Labral Tear Test
• This test is also used for examining anterior hip instability& posterior inferior impingement = Posterior Labral Tear Test

Anterior Labral Tear Test:

• This test is also known as the anterior apprehension test.
• In another way, this test is called FADDIR – Flexion, Addcution&Internal rotation test.

• This test is used to examine the Femoroacetabular impingement syndrome, iliopsoas tendinitis, anterior labral tear&anterior superior impingement syndrome.

Technique of Anterior Labral Tear Test:

• Starting position of this test is the supine position.
• The examiner takes the hip into full flexion, lateral rotation means external rotation &full abduction as a starting position.
• Then the examiner does extend the hip combined with medial rotation means internal rotation & addiction.

Result of Anterior Labral Tear Test:

• A positive test is indicated by the production of pain.
• the reproduction of the patient’s symptoms with or without a click, or patient feel the apprehension.

• The test places the greater strain on the anterolateral labrum& the examiner should be careful to equate any finding with the patient’s symptoms.

Diagnosis of Anterior Labral Tear Test:

• Sensitivities of this test are in ranging from 0.95 to 0.96 for labral tear or hip femoroacetabular impingement.

Posterior Labral Tear Test:

• This test is also known as the posterior apprehension test.

The technique of Posterior Labral Tear Test:

• Starting position of this test is the supine position.
• The examiner takes the hip into full flexion, adduction,&medial rotation means internal rotation as a starting position.
• The examiner then takes the hip into extension combined with abduction & lateral rotation means external rotation.

Result of Posterior Labral Tear Test:

• A positive test is indicated by the production of groin pain, patient apprehension, or the reproduction of the patient’s symptoms, with or without a click.
• A positive test is an indication of a labral tear, anterior hip instability, or posterior-inferior impingement.

• This test occurs apprehension towards the end of ROM when doing the test.