Perthes test

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The Perthes test is used to test the patency of the deep leg veins and their collaterals and the functionality of the venous valves (i.e. as part of the diagnosis of venous insufficiency ). It is named after Georg Clemens Perthes (1869–1927), who was the first to describe Perthes' disease .

For this purpose, the thigh below the opening point of the long saphenous vein in the femoral vein and above the existing superficial varicose veins applied (varices) a tourniquet, bringing the varicose veins by filling in bulging. By activating the muscle pump , for example by bobbing the patient on his toes, the varicose veins should empty if the connecting veins (perforating veins) are open and valve-deficient and the Perthes sign should be negative . However, the deep leg veins must also be continuous here. If the veins become more plump, the Perthes sign is positive , indicating the insufficiency of the deep leg veins and bypass veins.

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