What does a positive Goldthwait Test suggest if pain is reported after the LS junction moves?

• A. Unilateral hip flexor strain
• B. Contralateral SI sprain
• C. Ipilaterally SI sprain
• D. Piriformis syndrome

Answer: (B)

A positive Goldthwait Test indicates that pain arises from the sacroiliac (SI) joint rather than the lumbar spine when the LS (lumbar-sacral) junction is moved. This test involves the clinician palpating the lumbar spine while elevating the leg, thereby isolating movement in the SI joint. When pain is reported during this maneuver, it suggests that the source of pain is related to the sacroiliac joint.

In this context, reporting pain after the LS junction moves indicates that there is likely dysfunction or irritation in the sacroiliac joint. If pain occurs on the contralateral (opposite side) of the tested limb, it points towards a sprain or dysfunction on that side of the sacroiliac joint. Thus, a positive result would correlate with a contralateral SI sprain, where the opposite joint shows abnormal responses due to spinal or pelvic alignment issues or compensatory movements.

The other options relate to different conditions affecting the hip or pelvis, but they do not specifically correlate with the findings of the Goldthwait Test as it relates directly to SI joint pain. This helps clarify why a contralateral SI sprain is the most appropriate interpretation of a positive Goldthwait Test result in the