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In chronic venous insufficiency, sonographic examination is of most benefit; in confirming varicose disease, making an assessment of the hemodynamics, and charting the progression of the disease and its response to treatment. It has become the reference standard for examining the condition and hemodynamics of the lower limb veins.
The Thompson test (also called Simmonds' test or Simmonds-Thompson test) is used in lower limb examination to test for the rupture of the Achilles tendon. [1] [2] The patient lies face down with feet hanging off the edge of the bed.
Involuntary extension of the "normal" leg occurs when flexing the contralateral leg against resistance. To perform the test, the examiner should hold one hand under the heel of the "normal" limb and ask the patient to flex the contralateral hip against resistance (while the patient is supine), asking the patient to keep the weak leg straight while raising it.
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A peripheral vascular examination is a medical examination to discover signs of pathology in the peripheral vascular system. It is performed as part of a physical examination , or when a patient presents with leg pain suggestive of a cardiovascular pathology.
Schwartz's test is a clinical test used for confirming the diagnosis of long standing varicose veins. [1] The clinician exposes the lower limb. A tap is made on the lower part of the leg on the long saphenous varicose vein with one hand.
A positive Trendelenburg's sign is caused by weakness or ineffective action of the abductor muscles of the lower limb, the gluteus medius muscle and the gluteus minimus muscle. [ 2 ] Damage to the motor nerve supply of the lateral gluteal muscles (gluteus medius muscle and gluteus minimus muscle)
Buerger's test is performed in an assessment of arterial sufficiency. It is named after Leo Buerger.The vascular angle, which is also called Buerger's angle, is the angle to which the leg has to be raised before it becomes pale, whilst lying down.