Disclaimer: This article is for educational purposes. Always correlate clinical tests with imaging and patient history. Do not rely solely on provocation tests for diagnosis.
Case: Your patient has a positive Spica test, but also reports numbness in the L5 dermatome. You suspect a "dual diagnosis." What is the clinical term for this scenario? Answer: "Double crush syndrome" or concurrent lumbar radiculopathy and SI joint dysfunction.
Şekil değiştirme ve eşleştirme testleri. spica assessment sorulari
Case: After a positive Spica test, you decide to perform a diagnostic injection. What landmark do you target? Answer: The sacroiliac joint under fluoroscopy or ultrasound guidance, typically at the lower third of the joint (S2-S3 level).
Below are (sorulari) that frequently appear in physiotherapy and orthopedics residency exams. These cover anatomy, technique, differential diagnosis, and clinical reasoning. Disclaimer: This article is for educational purposes
In which patient population is the Spica test contraindicated? Answer: Patients with acute pelvic fracture, advanced hip osteoarthritis, or recent total hip arthroplasty (risk of dislocation).
What is the patient’s starting position for the classic Spica assessment? Answer: Supine lying. Case: Your patient has a positive Spica test,
Name two ligaments specifically stressed during the Spica maneuver. Answer: Anterior sacroiliac ligament and interosseous sacroiliac ligament.