In the FADIR test, anterior groin pain suggests which condition?

• A. Iliopsoas tendinopathy
• B. Femoroacetabular impingement
• C. Iliac crest contusion
• D. Piriformis syndrome

Answer: (B)

The FADIR test stresses the hip joint by flexing the hip, adding adduction, and internally rotating it. This position brings the femoral neck into contact with the acetabular rim. If there are cam or pincer deformities causing femoroacetabular impingement, this impingement occurs during the maneuver and reproduces anterior groin pain. That classic painful response in the groin with this specific combination of motions points most strongly to femoroacetabular impingement. Other conditions don’t typically produce the same pattern: iliopsoas tendinopathy tends to show pain with resisted hip flexion or palpation of the iliopsoas tendon; a iliac crest contusion would cause localized crest tenderness; and piriformis-related pain is usually in the buttock or posterior thigh and associated with external rotations or seated positions rather than the anterior groin with internal rotation.