Obturator hernia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical Examination== | ==Physical Examination== | ||
* Physical signs of obturator hernia may not be immediately evident as they are operator dependent. | * Physical signs of [[obturator hernia]] may not be immediately evident as they are operator dependent. | ||
*Groin mass is seen in few cases. | *Groin mass is seen in few cases. | ||
* [[Howship-Romberg sign]] | * [[Howship-Romberg sign]] | ||
**The Howship-Romberg sign is suggestive of an obturator hernia, exacerbated by thigh extension, medial rotation and adduction. It is characterized by lancilating pain in the medial thigh/obturator distribution, extending to the knee; caused by hernia compression of the | **The Howship-Romberg sign is suggestive of an [[obturator hernia]], exacerbated by thigh extension, medial rotation and adduction. It is characterized by lancilating pain in the medial thigh/obturator distribution, extending to the knee; caused by hernia compression of the [[Obturator nerve]]. | ||
*Compression of [[Obturator Nerve]] may lead to absence of adductor reflex in the thigh in the presence of a positive [[Patellar reflex]].This is called Hannington-Kiff sign.<ref> name="pmid6101635">{{cite journal| author=Hannington-Kiff JG| title=Absent thigh adductor reflex in obturator hernia. | journal=Lancet | year= 1980 | volume= 1 | issue= 8161 | pages= 180 | pmid=6101635 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6101635 }} </ref> | *Compression of [[Obturator Nerve]] may lead to absence of adductor reflex in the thigh in the presence of a positive [[Patellar reflex]].This is called Hannington-Kiff sign.<ref> name="pmid6101635">{{cite journal| author=Hannington-Kiff JG| title=Absent thigh adductor reflex in obturator hernia. | journal=Lancet | year= 1980 | volume= 1 | issue= 8161 | pages= 180 | pmid=6101635 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6101635 }} </ref> | ||
*Hannington-Kiff sign is more specific than Howship-Romberg sign.<ref> name="pmid9240957">{{cite journal| author=Naude G, Bongard F| title=Obturator hernia is an unsuspected diagnosis. | journal=Am J Surg | year= 1997 | volume= 174 | issue= 1 | pages= 72-5 | pmid=9240957 | doi=10.1016/S0002-9610(97)00024-X | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9240957 }} </ref> | |||
==Reference== | ==Reference== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
- Physical signs of obturator hernia may not be immediately evident as they are operator dependent.
- Groin mass is seen in few cases.
- Howship-Romberg sign
- The Howship-Romberg sign is suggestive of an obturator hernia, exacerbated by thigh extension, medial rotation and adduction. It is characterized by lancilating pain in the medial thigh/obturator distribution, extending to the knee; caused by hernia compression of the Obturator nerve.
- Compression of Obturator Nerve may lead to absence of adductor reflex in the thigh in the presence of a positive Patellar reflex.This is called Hannington-Kiff sign.[1]
- Hannington-Kiff sign is more specific than Howship-Romberg sign.[2]
Reference
- ↑ name="pmid6101635">Hannington-Kiff JG (1980). "Absent thigh adductor reflex in obturator hernia". Lancet. 1 (8161): 180. PMID 6101635.
- ↑ name="pmid9240957">Naude G, Bongard F (1997). "Obturator hernia is an unsuspected diagnosis". Am J Surg. 174 (1): 72–5. doi:10.1016/S0002-9610(97)00024-X. PMID 9240957.