Is Homans sign a clinically significant in screening for deep vein thromboembolism?

Anand SS, et al. Does this patient have deep vein thrombosis? JAMA. 1998;279:1094-1099. Full-text

To review the validity of the clinical assessment and diagnostic tests in patients with suspected deep vein thrombosis

Reviewed 68 studies dealing with the diagnosis of DVT; selected 5 studies that dealt with the relationship between clinical findings and venographic confirmation of DVT

Table 2. Frequency of Symptoms and Signs in Patients with Suspected DVT

Results of 3 studies show that patients with and without DVT (confirmed with venography) could have a positive Homan’s sign as shown in Table 2.

About Amy

Clinical Informationist at EUH Branch Library
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