II. Indications
- Groin Hernia Evaluation
III. Technique
- Examine patient while standing
- Stand at patient's right side
- Place palm of right hand over right lower Abdomen
- Spread and position fingers
- Middle finger along inguinal ligament
- Middle fingertip in External Inguinal Ring
- Index finger over Internal Inguinal Ring
- Ring finger over femoral canal
- Patient performs Valsalva Maneuver or strains
- Repeat procedure on left side with left hand
IV. Interpretation: Findings suggesting Hernia sac
- Gliding motion of the sac walls
- Viscus protrusion into sac
V. References
- Degowin (1987) Diagnostic Examination, p. 495-6