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Gaenslen's Test

Indications: Evaluation for Sacroiliac joint disease
1. Sacroiliitis in Ankylosing Spondylitis
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
Interpretation: Positive Test
1. Pain on thigh hyperextension suggests sacroiliitis

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.