SI Joint Ortho Exams

Question 1

Pt is supine with the involved side near the edge of the examining table. The opposite knee and thigh are fully flexed and fixed against the abdomen by the pt. The involved leg is gradually extended off the table by the examiner. Dr then applies downward pressure against clasped knee & knee of extended hip. (+) = pain in SI joint

Answer 1

Gaenslen’s Test

* SI Lesion

Question 2

Pt is lying on non-affected side. Pt actively abducts leg, then the Dr exerts downward pressure proximal to knee. (+) = Pain at PSIS

Answer 2

Hip Abduction Stress Test

* SI Joint problems; Gluteus Medius weakness

Question 3

Pt lies on unaffected side and pulls lower knee to chest. Dr stands behind pt, stabilizes pelvis and hyperextends the top thigh. (+) = pain in SI joint

Answer 3

Lewin-Gaenslen’s Test

* SI Lesion

Question 4

Pt is in side-lying position with involved side up. The Dr’s hands are placed over the upper part of the iliac crest. Dr. exerts downward pressure. (+) = pain in SI joint

Answer 4

Iliac Compression

* SI Lesion

Question 5

Dr stabilizes pelvis on side they are standing. With other hand, Dr grasps the ankle of opposite leg and flexes knee to 90 degrees. The Dr slowly pushes the leg laterally away producing internal rotation of the hip. (+) = pain in SI joint

Answer 5

Hibb’s Test

* SI Lesion

Question 6

The leg flexed to 90 degrees. Heel is approximated to same buttock. Dr stabilizes the side they are testing. (+) = pain in SI joint

Answer 6

Nachlas Test

* SI Lesion - or - Femoral Nerve stretch if pain in ant. thigh

Question 7

Dr stabilizes SI joint testing with other hand. Dr flexes leg of affected side and hyperextends the thigh by lifting knee off table. (+) = pain in SI joint

Answer 7

Yeoman’s Test

* SI Lesion