Pelvis Orthopedic Tests Flashcards
What is the purpose of the Anterior Innominate Test?
Looking for unilateral forward displacement of the ilium, sacrum, or SI joint
How to perform the Anterior Innominate Test
Pt places unaffected foot 2-3 ft forward then flexes forward at the waist and attempts to touch their toes. If the rear foot remains flat they should take a step farther forward to torque the pelvis more.
What is a classic positive of the Anterior Innominate Test?
Local pain over the SI joint
How to perform the Belt Test/Supported Adam’s Test
Patient bends forward to touch toes, note any pain
Dr then braces patient’s hips with their hands and place their own hip against the sacrum then tells patient to bend forward again, note pain
What is a classic positive finding of the belt test/supported Adam’s test?
Pain in the 1st part of the test but no pain in the 2nd part or is able to bend further in the 2nd part indicates SI joint problem
Pain during both parts or lesser degree of flexion in the 2nd part indicates lumbar problem
How to perform Erichsen’s Test
Patient lies prone and Dr compresses SI joints by applying pressure to the PSIS’s with thenars or thumbs. This creates a double IN ilium.
Erichsen’s essentially creates a double ______ ilium.
IN
What is a classic positive finding of Erichsen’s test?
Pain in the SI joint from stressing the anterior SI joint ligaments
How is Gaenslen’s Test performed?
Patient is supine, Dr stands on the side and brings the unaffected knee up towards patient’s chest. Dr then slowly hyperextends the affected leg.
Classic positive of Gaenslen’s test?
SI joint pain on the side being tested or radiating pain into the thigh or groin
What is the purpose of Gaenslen’s test?
Looking for SI joint sprain or strain
How to perform Goldthwait’s/Smith-Peterson Test
Patient lies supine while Dr palpates L4 and S1 then elevates affected leg
What is a classic positive of Goldthwait’s/Smith-Peterson test?
Pain before the L5-S1 separation indicates S1 problem
Pain after the L5-S1 separation indicates lumbar problem
How to perform Hibb’s test
Patient prone, Dr flexes knee to 90 degrees and internally rotates the femur by pushing the foot laterally
What is the purpose of Hibb’s test?
Looking for sacroiliac lesion
What is a classic positive finding for Hibb’s test?
Pain in the SI joint specifically
Pain in the knee or hip is not considered a positive finding for this test
How to perform Iliac Compression Test
Patient lies on their unaffected side and Dr compresses the iliac crest on the affected side toward the table, creating a double “EX” ilium
Iliac compression test essentially creates a double _____ ilium
EX
Classic positive for iliac compression test
Pain in the SI joint
Purpose of the iliac compression test
Sprain of the posterior SI ligaments, SI joint inflammation, or subluxation
How to perform the Lewin Gaenslen Test
Patient lies on unaffected side and brings their unaffected knee towards their chest, then Dr slowly hyperextends the affected leg
Purpose of the Lewin Gaenslen test
Looking for SI joint sprain or arthritis
Classic positive finding of the Lewin Gaenslen test
SI joint pain on the affected side or muscle tightness
How to perform Yeoman’s test
Patient lies prone and Dr applies pressure to the sacrum with one hand and places the other hand on the affected side knee and lifts the knee off of the table, extending the thigh
Purpose of Yeoman’s test
SI joint lesion specifically of the anterior SI ligament
Femoral nerve irritation
Iliopsoas or rectus femoris muscle contracture
