Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging

Objective  To show the accuracy of the most used maneuvers in the clinical diagnosis of lumbosciatalgia, the slump test and the Laségue sign. Methods  In order to perform the present study, 101 patients with magnetic resonance imaging (MRI) discopathy (gold standard) were selected and had their medi...

Descripción completa

Detalles Bibliográficos
Autores principales: Miranda, Isabel Hahn, Raymundo, José Luiz Pozo, Klein, Kevin Maahs
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651457/
https://www.ncbi.nlm.nih.gov/pubmed/34900104
http://dx.doi.org/10.1055/s-0040-1722590
_version_ 1784611400675491840
author Miranda, Isabel Hahn
Raymundo, José Luiz Pozo
Klein, Kevin Maahs
author_facet Miranda, Isabel Hahn
Raymundo, José Luiz Pozo
Klein, Kevin Maahs
author_sort Miranda, Isabel Hahn
collection PubMed
description Objective  To show the accuracy of the most used maneuvers in the clinical diagnosis of lumbosciatalgia, the slump test and the Laségue sign. Methods  In order to perform the present study, 101 patients with magnetic resonance imaging (MRI) discopathy (gold standard) were selected and had their medical records reviewed to identify which had the positive maneuvers on the initial physical examination. Results  The sensitivity found for the slump test and the Laségue sign in the diagnosis of disc herniation was 55.3% and 18.1%, respectively. Nonetheless, when they were compared with each other for the diagnosis of disc bulging, the sensitivity obtained was of 85.7% for the slump test and of 28.6% for the Laségue sign. Conclusion  Comparing both clinical exams with MRI, it was found that the slump test presents superior sensitivity compared with the Laségue sign for both the diagnosis of hernia and disc bulging, and should be more present in clinical practice.
format Online
Article
Text
id pubmed-8651457
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Thieme Revinter Publicações Ltda.
record_format MEDLINE/PubMed
spelling pubmed-86514572021-12-10 Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging Miranda, Isabel Hahn Raymundo, José Luiz Pozo Klein, Kevin Maahs Rev Bras Ortop (Sao Paulo) Objective  To show the accuracy of the most used maneuvers in the clinical diagnosis of lumbosciatalgia, the slump test and the Laségue sign. Methods  In order to perform the present study, 101 patients with magnetic resonance imaging (MRI) discopathy (gold standard) were selected and had their medical records reviewed to identify which had the positive maneuvers on the initial physical examination. Results  The sensitivity found for the slump test and the Laségue sign in the diagnosis of disc herniation was 55.3% and 18.1%, respectively. Nonetheless, when they were compared with each other for the diagnosis of disc bulging, the sensitivity obtained was of 85.7% for the slump test and of 28.6% for the Laségue sign. Conclusion  Comparing both clinical exams with MRI, it was found that the slump test presents superior sensitivity compared with the Laségue sign for both the diagnosis of hernia and disc bulging, and should be more present in clinical practice. Thieme Revinter Publicações Ltda. 2021-03-31 /pmc/articles/PMC8651457/ /pubmed/34900104 http://dx.doi.org/10.1055/s-0040-1722590 Text en Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Miranda, Isabel Hahn
Raymundo, José Luiz Pozo
Klein, Kevin Maahs
Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging
title Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging
title_full Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging
title_fullStr Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging
title_full_unstemmed Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging
title_short Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging
title_sort sensitivity of laségue sign and slump test in hernia and disc bulging diagnoses compared with magnetic resonance imaging
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651457/
https://www.ncbi.nlm.nih.gov/pubmed/34900104
http://dx.doi.org/10.1055/s-0040-1722590
work_keys_str_mv AT mirandaisabelhahn sensitivityoflaseguesignandslumptestinherniaanddiscbulgingdiagnosescomparedwithmagneticresonanceimaging
AT raymundojoseluizpozo sensitivityoflaseguesignandslumptestinherniaanddiscbulgingdiagnosescomparedwithmagneticresonanceimaging
AT kleinkevinmaahs sensitivityoflaseguesignandslumptestinherniaanddiscbulgingdiagnosescomparedwithmagneticresonanceimaging

Ejemplares similares