Yeoman's Test: Difference between revisions

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'''Original Editor'''­ - [[User:Ahmed Nassef|Ahmed Nassef]]  
'''Original Editor'''­ - [[User:Ahmed Nassef|Ahmed Nassef]]  


'''Lead Editors'''      
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}     
</div>  
</div>  
== Purpose<br>  ==
== 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<ref name=":0">Konin JG, Wiksten DL, Isear Jr. JA, Brader H. ''Special Test for Orthopedic Examination'' 3<sup>rd</sup> ed. Thorofare, NJ: SLACK incorporated; 2006. </ref>  
The Yeoman test is used to determine [[Sacroiliac Joint|sacroiliac joint]] involvement. More specifically, if the pain is in the sacroiliac region it may be related to anterior sacroiliac ligament pathology<ref name=":0">Konin JG, Wiksten DL, Isear Jr. JA, Brader H. ''Special Test for Orthopedic Examination'' 3<sup>rd</sup> ed. Thorofare, NJ: SLACK incorporated; 2006. </ref>


== Technique  ==
== Technique  ==
'''Starting Position'''
'''Starting Position'''


The patient lies prone
The patient lies prone<ref name=":1">Nejati P, Sartaj E, Imani F, Moeineddin R, Nejati L, Safavi M. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7646135/ Accuracy of the diagnostic tests of sacroiliac joint dysfunction.] Journal of Chiropractic Medicine. 2020 Mar 1;19(1):28-37.</ref>.


'''Procedure'''
'''Procedure'''


The examiner stands at the painful side and flexes the patient's knee to 90° and extends the hip
The examiner stands at the painful side, flexes the patient's knee to 90° and extends the hip<ref name=":1" />.


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'''Positive Test'''
'''Positive Test'''


Pain localized to the sacroiliac joint indicates pathology in the anterior sacroiliac ligament
Pain localized to the sacroiliac joint indicates a positive test<ref name=":1" />.


Anterior thigh paresthesia may indicate a femoral nerve stretch<ref name=":0" /><ref>Magee, D.   Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.</ref>
Anterior thigh paresthesia may indicate a [[Femoral Nerve|femoral nerve]] stretch<ref name=":0" /><ref>Magee, D.   Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.</ref>


== Evidence  ==
== Evidence<ref name=":1" /> ==
 
{| class="wikitable"
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.<ref>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.</ref><ref>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.</ref>
!Sensitivity
 
!64.1%
== Resources  ==
|-
 
|Specificity
add any relevant resources here
|33.3%
|-
|Positive predictive value
|80.6%
|-
|Negative predictive value
|17.6%
|}


== References  ==
== References  ==


<references />
<references />
[[Category:Special_Tests]]
[[Category:Special_Tests]]
[[Category:Primary Contact]]
[[Category:Sports Medicine]]
[[Category:Athlete Assessment]]
[[Category:Pelvis]]
[[Category:Pelvis - Special Tests]]

Latest revision as of 16:19, 28 May 2023

Purpose[edit | edit source]

The Yeoman test is used to determine sacroiliac joint involvement. More specifically, if the pain is in the sacroiliac region it may be related to anterior sacroiliac ligament pathology[1].

Technique[edit | edit source]

Starting Position

The patient lies prone[2].

Procedure

The examiner stands at the painful side, flexes the patient's knee to 90° and extends the hip[2].

Positive Test

Pain localized to the sacroiliac joint indicates a positive test[2].

Anterior thigh paresthesia may indicate a femoral nerve stretch[1][3]

Evidence[2][edit | edit source]

Sensitivity 64.1%
Specificity 33.3%
Positive predictive value 80.6%
Negative predictive value 17.6%

References[edit | edit source]

  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. 2.0 2.1 2.2 2.3 Nejati P, Sartaj E, Imani F, Moeineddin R, Nejati L, Safavi M. Accuracy of the diagnostic tests of sacroiliac joint dysfunction. Journal of Chiropractic Medicine. 2020 Mar 1;19(1):28-37.
  3. Magee, D.   Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.