Yeoman's Test: Difference between revisions

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== Purpose  ==
== Purpose  ==


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. 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  ==
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Pain localized to the sacroiliac joint indicates a positive test<ref name=":1" />.
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<ref name=":1" />  ==
== Evidence<ref name=":1" />  ==
{| class="wikitable sortable"
{| class="wikitable"
!Sensitivity
!Sensitivity
!64.1%
!64.1%

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.