Spurling's test

The Spurling test is a medical maneuver used to assess nerve root pain (aka radicular pain). The examiner turns the patient's head to the affected side while extending and applying downward pressure to the top of the patient's head. A positive Spurling's sign (i.e. the Spurling's test is positive) is when the pain arising in the neck radiates in the direction of the corresponding dermatome ipsilaterally. It is a variant of the foraminal compression test (cervical compression test).

Patients with a cervical radiculopathy (compression of a nerve ‘root’ in the neck) can present with a variety of symptoms, including pain, numbness and weakness. Many other disorders can produce similar symptoms. In addition to the clinical history, the neurological examination may show signs suggesting a cervical radiculopathy.

Accuracy

Spurling's test is somewhat specific when used for individuals with an abnormal electromyogram study and is relatively sensitive physical examination maneuver in diagnosing cervical spondylosis or acute cervical (neck)radiculopathy. It is not a very sensitive test when used for individuals without classic radicular signs suggestive of cervical radiculopathy. In 2011, one study evaluated 257 patients with clinical cervical radiculopathy and correlated CT scan findings with clinical exam findings using the Spurling's test. The Spurling's test was 95% sensitive and 94% specific for diagnosing nerve root pathology.^[1]

References

↑ Shabat, Shay; Leitner, Yossi; David, Rami; Folman, Yoram (September 2011). "The Correlation between Spurling Test and Imaging Studies in Detecting Cervical Radiculopathy". Journal of Neuroimaging 22: 375–378. doi:10.1111/j.1552-6569.2011.00644.x. PMID 21883627.

Eponymous medical signs for skeletal system and joints

Joints

Arthropathy	osteoarthritis (Bouchard's nodes/Heberden's node) dermatomyositis (Gottron's papules) DeQuervain's syndrome (Finkelstein's test) anterior shoulder instability (Jobe's test) hip dysplasia Barlow's maneuver Ortolani test

Dorsopathy	low back pain (Waddell's signs) low back flexibility Ott test Schober test sacroiliitis (Larrey's sign)

Trauma/Orthopedics	Knee: ligament (Lachman test) meniscus Apley grind test McMurray test ligament and meniscus O'Donoghue's triad Ankle: tendon Simmonds' test Shoulder: rotator cuff Hawkins–Kennedy test ligament Neer impingement sign Jobe's test Watson's test

Skeletal/bone

bone tumor (Codman triangle)

osteochondritis dissecans (Wilson test)

Teeth

Hutchinson's teeth

Eponymous medical signs for nervous system

CNS

Head, general	Battle's sign Broca aphasia Kernig's sign Macewen's sign Myerson's sign Stroop test Wada test Dix-Hallpike test Hirano body

Multiple sclerosis	Dawson's fingers Lhermitte's sign Charcot's neurologic triad Uhthoff's phenomenon

Other	Romberg's test increased intracranial pressure Cushing's triad Miller Fisher test

PNS

Reflexes of extremities/
corticospinal tract

Combination	Jendrassik maneuver

Lower limb	Babinski sign Chaddock reflex Oppenheim's sign Westphal's sign

Upper limb	Hoffmann's sign

Other torso/limbs

Upper limb	Froment's sign carpal tunnel syndrome Tinel sign Phalen maneuver

Lower limb	Abadie's sign of tabes dorsalis Gowers' sign Hoover's sign Lasègue's sign Trendelenburg's sign

Torso	Beevor's sign

General	Todd's paresis Jolly's test

This article is issued from Wikipedia - version of the Wednesday, November 04, 2015. The text is available under the Creative Commons Attribution/Share Alike but additional terms may apply for the media files.