Best of Five 3.89

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BOF: 3.89

A 26-year-old male presents with a history of gradual onset of low back pain, which is increased at night. He has stiffness of his spine, which is worse in the morning. The stiffness is relieved by exercise.

Magnetic resonance imaging of his spine reveals irregularities, erosions and sclerosis of his sacroiliac joints.

In this patient which of the following is likely to be the earliest objective sign of spinal involvement?

a)      Loss of lateral flexion of the lumbar spine

b)      Positive Trendelenburg test

c)      Increased lumbar lordosis

d)      Positive straight leg raising test

e)      Positive femoral stretch test

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