Femoral nerve stretch test


Femoral nerve stretch test, also known as Mackiewicz sign is a test for disc protrusion and femoral nerve injury. The patient lies prone, the knee is passively flexed to the thigh and the hip is passively extended. The test is positive if the patient experiences anterior thigh pain. This test is usually positive for L2-L3 and L3-L4 protrusions, slightly positive or negative in L4–L5, and negative in cases of lumbosacral protrusion.