Long dorsal sacroiliac ligament (LDL) test

DEFINITION / DESCRIPTION[1][edit | edit source]


A/ The LDL test in postpartum women

The patient lies prone and will be examined for tenderness on bilateral palpation of the LDL directly under the caudal part of the posterior superior iliac spine. The pain will be scored by a skilled examiner on a 4-point scale as positive or negative :

0 : no pain
1 : mild pain
2 : moderate pain
3 : unbearable pain

The sum score can be situated between 0-6 because the scores on both sides are added.

B/ The LDL test in pregnant women

The patient lies on her side with slight flexion in both hip and knee joints. If the pain caused by the palpation remains for more than 5 seconds after the examiner removes his hand, it is considered as pain. It is considered as tenderness when the pain disappears within 5 seconds.

REFERENCES[edit | edit source]

  1. Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. European Spine Journal Jun 2008; 17(6) : 794-819.