Table 1.
Criteria or sign | Description |
---|---|
Diagnostic criteria | |
Sacral pain | Pain is usually unilateral and in some cases radiates to the buttock, lower abdomen, anterior medial thigh, groin, or posterior thigh |
Pelvic pain | Pain in sacral area is provoked by direct bilateral downward pressure on the anterior superior iliac spine |
Asymmetry of the anterior superior iliac spine | Anterior superior iliac spine should be examined with patients in supine position to eliminate the effect of leg length discrepancy, as in sacroiliac subluxation, one iliac spine will be higher than the other |
Confirmatory signs | |
Active straight leg raise test | Passive raising of patients’ leg, with the knee extended and patients in supine position, causes pain, usually at the end range |
Positive Patrick’s test | Placing one heel on the opposite knee in the recumbent position and simultaneously rotating the leg outward provokes pain |
Tenderness at Baer’s test | A point of acute tenderness, just to side and below the umbilicus on the painful side |
Which is about one-third of the way between the umbilicus and ASIS |
ASIS=Anterior superior iliac spine