When are C-Spine Radiographs Needed?
The Canadian Spine Rules and the NEXUS Spine Rules provide important algorithms to determine if radiographs are needed.
Are You Double Jointed?
When joint hypermobility is bilateral, one needs to explore systemic issues. Connective tissue disorders may be a contributing factor. The Beighton tests can help assess the magnitude of joint laxity.
Challenges of SI Testing: Part 2
Evaluating the SI Joint can be challenging with very small amounts of movement and tests with variable statistical values.
Challenges of SI Testing: Part 1
The SI joint is stabilized by a network of ligaments and muscles. The normal sacroiliac joint has been shown to have approximately 2-4 mm of movement. So yes, the SIJ does move!
Putting “Special Tests” in Perspective
Assessing the value of "Special Tests" can be a clinical challenge.