We present a useful physical examination test for the clinical evaluation of symptomatic hip pathology that can be administered by telemedicine video conferencing. The basis of the e-Quadrant test is the reproduction of a patient’s typical symptoms of mid-inguinal groin discomfort when the hip is positioned into deep flexion when combined with adduction and internal rotation. Evaluated by randomized controlled trial, the sensitivity of the e-Quadrant test was demonstrated as 87% with a specificity of 79% and an overall accuracy of 82%. In practice, the e-Quadrant test is intended to be an adjunct to a comprehensive clinical evaluation, considering also other relevant information obtained from the patient’s presenting history, radiology imaging and pathology testing as well as other physical examination tests where required.