07
May
Homans Sign Postpartum. Multidetector row spiral computed tomography is the test of choice for pulmonary embolism. Persistent pain in the calf indicates gastroc soleus strain. It was defined by john homans in 1941 as discomfort behind the knee upon forced dorsiflexion of the foot. The homan s sign may be erroneous if the test is not performed exactly how it should be performed.
Homans sign in the. Homan s sign has low sensitivity and specificity in diagnosing dvt. After many examples of false positive homans signs were reported homans redefined it in 1944 stating that discomfort. However groups of signs and symptoms can be useful. If a pain is felt in the calf muscles while performing the homan s test then the homan s sign is said to be positive. Common errors in homan s sign.
Deep seated calf pain occurring in short bouts indicate thrombophlebitis.
If a pain is felt in the calf muscles while performing the homan s test then the homan s sign is said to be positive. They subsequently validated this. Distention of the superficial venous collaterals. However groups of signs and symptoms can be useful. The homan s sign may be erroneous if the test is not performed exactly how it should be performed. Tenderness induration or spasm of the calf muscles with or without pain produced by dorsiflexion of the foot homans sign.