Glomus tumor physical examination: Difference between revisions

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==Overview==
==Overview==
 
Patients with glomus tumor usually appear well. Physical examination of patients with glomus tumor is usually remarkable for small (usually less than 2cm), blue or red palpable nodules which are usually distributed in the acral regions (subungual most common) and nail deformities.<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413  }} </ref>
 
==Physical examination==
==Physical examination==
*Physical examination of patients with a glomus tumor is usually remarkable for the following findings:<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413  }} </ref>  
*Physical examination of patients with a glomus tumor is usually remarkable for the following findings:<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413  }} </ref>  

Revision as of 20:42, 19 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]Soujanya Thummathati, MBBS [3]

Overview

Patients with glomus tumor usually appear well. Physical examination of patients with glomus tumor is usually remarkable for small (usually less than 2cm), blue or red palpable nodules which are usually distributed in the acral regions (subungual most common) and nail deformities.[1]

Physical examination

  • Physical examination of patients with a glomus tumor is usually remarkable for the following findings:[1]
    • Nail deformity
    • Blue discoloration
    • Palpable nodule
  • Physical examination of patients with glomus tumors is usually remarkable for the following:[2]
Test Procedure Response Sensitivity Specificity Accuracy

Love’s pin test

  • Pinhead pressure over tumor
  • Severe pain
  • 100%
  • 0%
  • 78%

Hildreth’s test

  • Tourniquet applied and Love’s test
  • No pain
  • 71.4%
  • 100%
  • 78%

Cold sensitivity test

  • Cold water over hand
  • Severe pain
  • 100%
  • 100%
  • 100%

Gallery

Extremities

References

  1. 1.0 1.1 Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L; et al. (1996). "Glomus tumours of the hand. A retrospective study of 51 cases". J Hand Surg Br. 21 (2): 257–60. PMID 8732413.
  2. Macharia C, Nthumba PM (2015). "Glomus tumor presenting as complex regional pain syndrome of the left upper limb: a case report". J Med Case Rep. 9 (1): 293. doi:10.1186/s13256-015-0793-3. PMC 4693409. PMID 26715068.