Orthopedics Book

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Spurling Sign

Aka: Spurling Sign, Spurling Test, Axial Compression of Cervical Spine, Shoulder Abduction Sign, Vertex Compression Test
  1. Indications
    1. Suspected Cervical Radiculopathy
  2. Technique
    1. Patient positions head in extension and rotation
    2. Examiner pushes down on head (axial compression)
  3. Interpretation
    1. Pain on axial compression suggests foraminal stenosis and nerve root irritation on the side of the rotation
    2. Pain may then be relieved by raising arm on the affected side overhead (Shoulder Abduction Sign)

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