Homans sign
The Homans sign is a clinical sign that at a deep vein thrombosis can occur. It was named after the American surgeon John Homans . Homans first described the sign in 1934 in a paper on deep vein thrombosis.
The Homans sign is positive if calf pressure pain occurs with the leg extended and sudden and rapid dorsiflexion in the ankle .
Clinical signs in deep vein thrombosis, which also include Homans sign, have a relatively high specificity , but only a low sensitivity .
literature
- Frank L. Urbano: Homans' Sign in the Diagnosis of Deep Venous Thrombosis. In: Hospital Physician. March 2001. (PDF version)
- Wiley F. Barker: John Homans, MD, 1877-1954: indomitable and irrepressible. In: Archives of Surgery . Volume 134, 1999, p. 1019, doi: 10.1001 / archsurg.134.9.1019 . PMID 10487601 .
- G. Sternbach: John Homans: the dorsiflexion sign. In: The Journal of Emergency Medicine. Volume 7, Number 3, May-Jun 1989, pp. 287-290, ISSN 0736-4679 . PMID 2663972 .
- DA Sandler: Homans' sign and medical education. In: The Lancet . Volume 2, Number 8464, November 1985, pp. 1130-1131, ISSN 0140-6736 . PMID 2865603 .
- SJ Goldowsky: Letter: Homans sign. In: Journal of the American Medical Association . Volume 235, Number 11, March 1976, p. 1108, ISSN 0098-7484 . PMID 946206 .
Individual evidence
- ↑ J. Homans: Thrombosis of the Deep Veins of the Lower Leg, Causing Pulmonary Embolism. In: New England Journal of Medicine . Volume 211, November 29, 1934, pp. 993-997.
- ^ S2 guideline for venous thrombosis and pulmonary embolism: Diagnostics and therapy of the German Society for Angiology - Society for Vascular Medicine eV (DGA). In: AWMF online (as of October 10, 2015)
