Rheumatology Book

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Gaenslen's Test

Aka: Gaenslen's Test
  1. Indications: Evaluation for Sacroiliac joint disease
    1. Sacroiliitis in Ankylosing Spondylitis
  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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