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Hamilton’s test
When the shoulder
joint is luxated, a rule or straight rod
applied to the humerus can be made to
touch the outer condyle and acromion
at the same time.
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Harris hip scale
A 100-point scale with
40 points for function and 60 for pain
in the hip.
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Heberden’s nodules
Small hard
nodules, formed usually at the distal interphalangeal articulations of the fingers,
produced by calcific spurs of the articular cartilage and associated with inter-
phalangeal osteoarthritis. Heredity is an
important etiologic factor. Called also
Heberden’s sign.
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Heel-knee test
For coordinated
movements of the extremities. The patient,
lying on his back, is asked to touch the
knee of one leg with the heel of the
other and then to pass the heel slowly
down the front of the shin to the ankle.
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Helbing’s sign
Medialward curving of
the Achilles tendon as viewed from behind;
seen in flatfoot.
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Hirschberg’s sign
Adduction,
inversion, and slight plantar flexion of the
foot on stroking the inner aspect (not
the sole) of the foot from the great toe
to the heel. Called also adductor reflex
of foot.
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Hoffmann’s sign
1. Increased mechanical irritability of the
sensory nerves in tetany; the ulnar nerve is
usually tested. 2. A sudden nipping of the
nail of the index, middle, or ring finger
produces flexion of the terminal phalanx of the thumb and of the second
and third phalanxes of some other finger.
Called also digital reflex, Hoffman’s
reflex, and Trommer’s sign.
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Homan’s sign
Discomfort behind the
knee on forced dorsiflexion of the foot;
a sign of thrombosis in the veins of the
calf.
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Hoover’s sign
1. In the normal state
or in genuine paralysis, if the patient,
lying on a couch, is directed to press
the leg against the couch, there will be
a lifting movement seen in the other leg;
this phenomenon is absent in hysteria
and malingering. 2. Movement of the
costal margins towards the midline in
inspiration, occurring bilaterally in pulmonary emphysema and unilaterally in
conditions causing flattening of the diaphragm, such pleural effusion and
pneumothorax.
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Hughston jerk test
For anterolateral
instability of the knee; noted by starting at 45 degrees flexion with tibia internally rotated and applying valgus
force while rotating fibula medially.
There is a jerk at about 20 degrees from
full extension.
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Huntington’s sign
The patient is re-
cumbent, with his legs hanging over the
edge of the table, and is told to cough.
If the coughing produces flexion of the
thigh and extension of the leg in the
paralyzed limb, it indicates that the pa-
ralysis is due to an upper motor neuron lesion.
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