| |
Thomas sign
1. Flexion of the hip
joint can be compensated for by lordosis.
2. Pinching of the trapezius muscle
causes goose flesh above the level of a
spinal cord lesion.
|
| |
Thomas test
With the patient supine,
when one leg is flexed so that the knee
touches the chest and the lumbar spine
is flattened, the angle taken by the other
hip is the degree of flexion deformity.
|
| |
Thompson test
Compression of the
calf muscle with foot at rest results in
ankle flexion if Achilles tendon is intact.
Also called Simmons test, Achilles.
|
| |
Thumb-nail test
For fractured patella.
The examiner’s thumbnail is passed
over the subcutaneous surface of the
patella; a fracture will be felt as a sharp
crevice.
|
| |
Tibialis sign
Strumpell’s sign (def. 1).
Also called tibial phenomenon.
|
| |
Tinel’s sign
A tingling sensation in the
distal end of the limb when percussion
is made over the site of a divided nerve.
It indicates a partial lesion or the beginning regeneration of the nerve.
Called also formication sign and distal
tingling on percussion.
|
| |
Toe spread sign
For Morton neuroma.
Disproportional spreading of the toes,
comparing one foot with the other. Also
called Nelson sign.
|
| |
Tourniquet test
For phlebitis of the leg.
Tourniquet is applied to the thigh and
pressure gradually increased until the
patient complains of pain in the calf;
result is compared with the affect on
the opposite leg.
|
| |
Trendelenburg’s test
1. The doctor
raises the patient’s leg above the level
of the heart until the veins are empty,
then lowers it quickly. If the veins be-
come distended at once, varicosity and
incompetence of the valves are indicated.
2. The patient, standing erect, stripped,
with back to the examiner, is
told to lift one leg and then the other.
When weight is supported by the affected
limb, the pelvis on the sound
side falls instead of rising; seen in
disturbances of the gluteus medius
mechanism, as in deformity of femoral
neck, dislocated hip joint, and weakness or paralysis of the gluteus medius
muscle.
|
| |
Trunk rotation
A test for malingering.
Positive when incomplete rotation pro-
duces back pain when shoulders and
pelvis are passively rotated in the same
plane as the patient stands relaxed with
the feet together. In the presence of
nerve irritation, leg pain may be produced and should be considered as a
true medical finding.
|
| |
