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Homan Sign

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Other Names

  • Homan's Sign
  • Dorsiflexion sign
  • Homan's Sign Test

Illustration of Homan's sign

Purpose

  • Evaluate for Deep Vein Thrombosis as a cause of calf or posterior knee pain
    • First described by John Homans, an American Surgeon, in 1941

Description

  • The patient is supine, knee in full extension
  • Examiner passively but forcefully dorsiflexes the ankle, and then squeezes the calf
  • Positive test
    • Pain or tenderness in the calf

Pathology


Evidence

Deep Vein Thrombosis

  • Sensitivity: 10-54%[1]
  • Specificity: 39-89%

See Also


References

  1. McGee, Steven (2012). Evidence-Based Physical Diagnosis. Philadelphia, USA: Saunders. pp. 472–473. ISBN 978-1-4377-2207-9
Created by:
John Kiel on 16 December 2020 23:12:32
Authors:
Last edited:
26 July 2021 23:56:55
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