Saturday, 10 February 2018

image Q. 115 - Test of curves

Q.  The radiograph of spine below displays slight abbormal curve. Which if the clinical test below will confirm benign nature of the curve?

a. Allen's test
b. Adam's test
c. Adson's test
d. Anderson's test
e. Eden test





















































































Answer -
b

The abnormal curve mentioned in the question is scoliosis as the radiograph is an anteroposterior view.

The question intends to ask about the test that suggests that the deformity is benign or not structural.
The test to ensure that the scoliosis is functional ( benign) and not structural is the one that is asked here.

The patient is asked to bend forward upto ninety degrees and the back is inspected from behind of patient. If there is improvement and there is no bump visible then the deformity is non-structural and if a bump or rib hump is seen then the deformity is fixed and structural.
This is called Adam's forward bending test.

Adson's test is for thoracic outlet syndrome. It is provocative test to create posture that puts pressure over neurovascular bundles in neck in conditions like cervical rib (cervical rib syndrome) or between scaleneus muscles ( scaleneus anticus syndrome)

Eden test is also for a variant of thoracic outlet syndrome symptoms. It is called costoclavicular syndrome as the compression site is between firts rib and clavicle.

Allen test is used to measure patency of radial and ulnar arteries before many procedures like hand surgeries, radial artery bypass graft or cannulation or arterial blood gas analysis etc.

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