Orthopedics Book

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Ankle Disorders

Cervicobrachial Disorders

Elbow Disorders

Foot Disorders

Hand Disorders

Hip Disorders

Infectious Disease

Knee Disorders

Shoulder Disorders

Cervical Spine Disorders

Lumbar Spine Disorders

Pelvis

Thoracic Spine Disorders

Wrist Disorders

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Spurling Sign

Aka: Spurling Sign, Spurling Test, Axial Compression of Cervical Spine, Shoulder Abduction Sign, Vertex Compression Test
  1. See Also
    1. Cervical Disc Provocative Test
  2. Indications
    1. Suspected Cervical Radiculopathy
  3. Technique
    1. Patient bends neck to ipsilateral side, performing neck lateral flexion and extension)
    2. Examiner pushes down on head (axial compression of neural foramina)
  4. Interpretation
    1. Pain on axial compression suggests foraminal stenosis and nerve root irritation on the side of the rotation
    2. Pain may then be relieved by raising arm on the affected side overhead (Shoulder Abduction Sign)
  5. Efficacy
    1. High Test Sensitivity and Specificity
  6. References
    1. Shah (2004) Br J Neurosurg 18(5): 480-3 [PubMed]

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