Homans' Sign: Causes & Reasons

Possible Causes for Homans' Sign

Of those who responded, 80.5% were taught to use Homans sign to screen for a possible DVT in their entry-level education and 67.9% continued to use Homans sign in clinical [ncbi.nlm.nih.gov]

On physical examination, the patient had increased warmth, edema, erythema, and tenderness in the left calf, with positive Homan's sign. [ncbi.nlm.nih.gov]

He had absent Arteria Dorsalis Paedis pulse on left foot, Positive Homan sign and Wells score is 7. His left leg was hugely swelled. He had normal leg hair distribution. [ncbi.nlm.nih.gov]

Septic Thrombophlebitis

Positive Homan’s sign: Identification of this problem is by the patient’s foot (bending the foot towards the head) while the patient lies flat on a bed or even surface and [byebyedoctor.com]

Deep vein thrombophlebitis is characterized by aching or cramping pain, especially in the calf, when the patient walks or dorsiflexes the foot (Homans' sign). thrombophlebitis [medical-dictionary.thefreedictionary.com]

Her calves were free from clubbing, and both Bancroft’s and the Homans signs were negative. [ncbi.nlm.nih.gov]

Ruptured Baker's Cyst

[…] and swelling with muscle contraction or stretch, loss of motion from restricted muscle function Deep vein thrombosis (DVT)5 Constant pain, pain on passive dorsiflexion (Homan [physio-pedia.com]

’s sign), localized warmth, localized tenderness on calf palpation and possible swelling, elevated body temperature Benign tumor Localized pain and tenderness, may be palpably [physio-pedia.com]

’s sign, local pulses present Benign tumor Palpable mass, palpable tenderness, insidious onset Intermittent pain Malignant tumor Palpable mass, palpable tenderness, insidious [physio-pedia.com]

Thromboembolism

Although calf pain on dorsiflexion of the foot (Homans' sign) is the classic assessment finding for DVT, don't rely heavily on this sign; nearly half of all patients with [journals.lww.com]

Homans sign First observed by surgeon Dr. John Homans, the sign is elicited by passive dorsiflexion of the ankle. [pathophys.org]

Even in the non-pregnant woman, individual signs and symptoms are of little value and ‘Homan’s sign’ is of no value. [academic.oup.com]

Pulmonary Embolism

Patient has negative Homan's Sign. Joint exam revealed shoulder movements complete in range. No warmth or tenderness noted. [meddean.luc.edu]

Eliciting Homans' sign (discomfort behind the knee on forced dorsiflexion of the foot), noting skin and temperature changes in the area of the calf, and assessing edema of [medical-dictionary.thefreedictionary.com]

Sign? [meddean.luc.edu]

Rupture of the Gastrocnemius Muscle

This case report documents an acute rupture of the lateral head of the gastrocnemius muscle at the myotendinous junction and a lateral dislocation of the tibialis anterior tendon with a clinical presentation consistent with a compartment syndrome, despite the intraoperative finding of a rupture of the posterior[…] [ncbi.nlm.nih.gov]

Superficial Thrombophlebitis

The physical examination revealed positive Homans sign, reddish purple discoloration of the internal thight and swelling; the difference between the right and left calf circumference [medichub.ro]

Phlegmasia Alba Dolens

Homans sign Differential diagnosis deep vein thrombosis In medicine, Homans' sign (sometimes spelled as Homans sign or called dorsiflexion sign) is considered by some physicians [en.wikipedia.org]

sign (calf pain with ankle dorsiflexion) • Acute PE • Phlegmasia • Duplex US -Sensitivity/specificity > 95% -Evaluate vein for flow, dilation, and incompressibility (indicate [accesssurgery.mhmedical.com]

Homans sign • Resistance( pain) of calf muscle to forcible dorxiflexion 14. Moses test • Gentle squeezing of calf muscle- pain • not following now 15. [slideshare.net]

Popliteal Cyst

Rupture of a popliteal cyst and dissection of its contents into the calf may produce pain, swelling, a positive Homan's sign and other findings closely resembling thrombophlebitis [ncbi.nlm.nih.gov]

Abstract Patients who present with swelling, tenderness, and inflammation in the calf of the leg, associated with a positive Homan's sign, are usually considered to have a [annals.org]

There was a positive Homan's sign and pitting edema of the foot. A purple discoloration of the ankle was noted, just below the malleoli. [journals.lww.com]

Venous Thrombosis

Homans' sign may be present. In severe cases, phlegmasia cerulea dolens or gangrene may be observed. [symptoma.com]

Homan's Sign Homan's Sign has been used as an indicator for LE DVT since the 1940s. [12] The test is performed by forcefully dorsiflexing the ankle while the knee is extended [physio-pedia.com]

Homans' Sign in the Diagnosis of Deep Venous Thrombosis. Hospital Physician 2001. 22-24 ↑ 13.0 13.1 13.2 Riddle DL, Wells PS. [physio-pedia.com]

Recurrent Thrombophlebitis due to Hereditary Disorders

Homans sign First observed by surgeon Dr. John Homans, the sign is elicited by passive dorsiflexion of the ankle. [pathophys.org]

"A combination of clinical signs and symptoms that included tenderness, swelling, redness, and the assessment of Homans' sign [can] not adequately differentiate patients with [ahcmedia.com]

Calf discomfort elicited by ankle dorsiflexion with the knee extended (Homans sign) occasionally occurs with distal leg DVT but is neither sensitive nor specific. [msdmanuals.com]

Thrombophlebitis

Assess vital signs. Assess extremities for signs of inflammation, swelling, and the presence of Homans sign. [rnpedia.com]

Clinical signs and symptoms that suggest thrombophlebitis include a swollen, red calf, and pain upon flexing of the ankle (Homan's sign). [healthcommunities.com]

Positive Homan’s sign: Identification of this problem is by the patient’s foot (bending the foot towards the head) while the patient lies flat on a bed or even surface and [byebyedoctor.com]

Lateral Periodontal Cyst

sign) 15.exploring before the application of pit&fissure for.. 16.discomfort due to giving L.a can be reduced by.. 17.colour fading of composite after (colour selection before [worlddentalnetwork.com]

[…] a.polishing with polishing paste b.polishing with polishing disc) 12.powered tooth brush invented in: 13.skeletal flourosis,water flouridation..(20ppm) 14.vein thrombosis…(Homans [worlddentalnetwork.com]

Cellulitis of the Face

Positive Homan's sign. Cellulitis may coexist with these disorders. If in doubt, treat for infection. [dermnetnz.org]

Traumatic Thrombosis of the Axillary Vein

The classic Homan’s sign (pain felt in the calf or posterior aspect of the knee on passive dorsiflexion of the foot while the knee is extended) is insensitive and nonspecific [clinicalgate.com]

Calf discomfort elicited by ankle dorsiflexion with the knee extended (Homans sign) occasionally occurs with distal leg DVT but is neither sensitive nor specific. [merckmanuals.com]

Popliteal Bursitis

sign is positive-“pseudothrombophlebitis syndrome” • Rarely, a dissecting popliteal cyst may coexist with popliteal vein thrombosis • Rarely can cause compartment syndrome [orthopaedicprinciples.com]

[…] which may or may not be connected • A dissecting popliteal cyst may mimic acute thrombophlebitis (or deep vein thrombosis), where the calf is painful and swollen, and the Homan [orthopaedicprinciples.com]

Thrombosis

sign: calf pain on dorsal flexion of the foot Meyer sign: Compression of the calf causes pain. [amboss.com]

For example, pulling the patient's toes toward the nose (Homans' sign), and squeezing the calf to produce pain (Pratt's sign). [medicinenet.com]

Phlebitis of the Chest Wall

May-Thurner Syndrome

Peripheral pulses were palpable with a negative Homan’s sign. Strength and deep tendon reflexes were equal bilaterally. [journals.lww.com]

There was left calf tenderness with negative Homan’s sign bilaterally. [scipublications.com]

Homan’s sign is an unreliable predictor of DVT due to relatively low sensitivity and specificity. 5 DVT and pulmonary emboli are characterized as 2 diseases with the same [journals.lww.com]

Disorder of Sulfur-Bearing Amino Acid Metabolism

migrating thrombophlebitis Asymptomatic until inflamed - stagnation causes hemolysys and can inflame and ulcer Homan sign - squeezing the calf elicits pain for DVT not sensitive [quizlet.com]

Esophageal -Hemorroidal plexus Thrombophlebitis and Phlebothrombosis Factors that increase risk: -Immobilization -Obesity -Congestion -Cancer - paraneoplastic syndrome >Trousseau sign [quizlet.com]

Renal Pelvis Squamous Cell Carcinoma

She had nonpitting edema on both legs that was more pronounced on the right leg with the presence of Homan's sign. Deep vein thrombosis was suspected. [karger.com]

Pulmonary Vascular Disorders

S4, S3, accentuated S2, low grade fever, homan's sign, pleural friction rub, and cyanosis What dx studies are done for PEs? [brainscape.com]

[…] and sxs are nonspecific -sxs: dyspnea, pleuritic chest pain, cough, leg pain, hemoptysis, palpitations, wheezing, anginal pain - signs: tachypnea, crackles, tachycardia, [brainscape.com]

[…] left shunting of blood - decreased cardiac output - surfactant depletion causing atelectasis - dx may be difficult, findings depend on the size of the embolus and common signs [brainscape.com]

Hyperdibasic Aminoaciduria Type 1

' sign Homatropine Homatropine hydrobromide see Homatropine Homocarnosinase deficiency Homocarnosinosis see Homocarnosinase deficiency Homocysteine Homocysteine levels raised [diseaselist.blogspot.com]

[…] mental retardation-hypotonic facies syndrome Holocarboxylase synthase deficiency Holoprosencephaly Holst-Meulengracht disease see Polymyalgia rheumatica Holt-Oram syndrome Homans [diseaselist.blogspot.com]

Perianal Thrombosis

Increased pain or resistance on dorsiflexion of the foot (Homan’s sign)- This is not a reliable sign and generally should not be performed due to risks of dislodging the thrombus [myvmc.com]

Thrombophlebitis Migrans

Sign Test. [physio-pedia.com]

A Homan’s sign test may be performed to rule out the possibility of DVT in thrombophlebitis patients. nWith safeguard against the possibility for DVT, the prognosis for thrombophlebitis [lybrate.com]

[…] correlation of a higher prevalence of deep vein thrombosis (phlebothrombosis) in patients with superficial thrombophlebitis. [1] This condition can be tested for with the Homan's [physio-pedia.com]

Cyclic Edema Syndrome

The absence of calf pain at passive dorsiflexion of the ankle (positive Homans' sign) does not rule out thrombosis. [ebm-guidelines.com]

Popliteal Aneurysm

Abstract Patients who present with swelling, tenderness, and inflammation in the calf of the leg, associated with a positive Homan's sign, are usually considered to have a [annals.org]

Embolism

One, now mainly outdated sign, a sign that was traditionally used to help diagnose the presence of deep vein thrombosis, is known as Homan's sign. [study.com]

A Homans’ sign is no longer considered a sensitive or specific test for DVT; some believe it elevates the risk present for migration. [ausmed.com]

sign. [study.com]

Embolism of Arteries of the Extremities

For example, pulling the patient's toes toward the nose (Homans' sign), and squeezing the calf to produce pain (Pratt's sign). [medicinenet.com]

Phlegmasia Cerulea Dolens

Sign in Published on Aug 15, 2019 It is a MUST to understand how to perform the Homans Sign for deep vein thrombosis when working with patients. [youtube.com]

Sign in Don't like this video? Sign in to make your opinion count. [youtube.com]