Yeoman's Test

Original Editor­ - Ahmed Nassef

Lead Editors  

Purpose

Tests  for Sacroiliac Joint involvement. More specifically, if the pain is in the sacroiliac region it may be related to anterior sacroiliac ligament pathology. If it is in the thigh it may be related to hip musculature tightness or femoral nerve tension and if it is in the lumbar region it may be due to lumbar involvement[1]

Technique

Starting Position

The patient lies prone

Procedure

The examiner stands at the painful side and flexes the patient's knee to 90° and extends the hip

Positive Test

Pain localized to the sacroiliac joint indicates pathology in the anterior sacroiliac ligament

Anterior thigh paresthesia may indicate a femoral nerve stretch[1][2]

Evidence

Thigh thrust test is most sensitive and distraction test is most specific. Only thigh thrust test reaches more than 80% sensitivity and specificity. In the absence of centralization, if three provocative tests are positive then the sensitivity, specificity and positive likelihood ratio are 93%, 89% and 6.97%, respectively. Hence practically it is sufficient to do the thigh thrust test, sacroiliac distraction test and the FABERE test to arrive at a diagnosis.[3][4]

Resources

add any relevant resources here

References

  1. 1.0 1.1 Konin JG, Wiksten DL, Isear Jr. JA, Brader H. Special Test for Orthopedic Examination 3rd ed. Thorofare, NJ: SLACK incorporated; 2006.
  2. Magee, D.   Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.
  3. Laslett M, Young SB, Aprill CN, McDonald B. Diagnosing painful sacroiliac joints: a validity study of a McKenzie evaluation and sacroiliac joint provocation tests. Australian Journal of Physiotherapy 2003;49:89–97.
  4. Mark Lasletta, Charles N. Aprill, Barry McDonald, Sharon B. Young. Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests. Manual Therapy 10 (2005) 207–218.