Rheumatology Book

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Gaenslen's Test

Aka: Gaenslen's Test, Gaenslen Test
  1. Indications: Evaluation for Sacroiliac joint disease
    1. Sacroiliitis in Ankylosing Spondylitis
    2. Sacroiliac Joint Dysfunction (SI Joint Dysfunction)
  2. Technique: Passive Thigh Hyperextension
    1. Patient lies supine
    2. Fix Lumbar Spine against table (eliminates lordosis)
      1. Patient flexes hip and knee on affected side
      2. Patient holds knee with both hands
    3. Examiner hyperextends opposite thigh over side of table
  3. Interpretation: Positive Test
    1. Pain on thigh hyperextension suggests Sacroiliitis

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