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This test is used to detect sacroiliac joint involvement.
With the patient in the prone position flex the knee to 90 degrees. Support the knee with one hand while placing the other over the posterior sacrum. Lift the knee to extend the hip while stabilizing the pelvis. This causes anterior rotation of the innominate, relative to the sacrum, and creates a torsional load in the sacroiliac joint. This test is considered positive if the patient complains of localized pain in the region of the sacroiliac joint.
In the final testing position, pain may also arise from a number of other structures. For example, if the test produces anterior thigh pain or paraesthesia, it may indicate femoral nerve involvement. If the test produces anterior upper thigh or groin pain, it may indicate hip joint or hip flexor involvement.
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