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Glomus tumor physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]Soujanya Thummathati, MBBS [3]

Overview

Patients with glomus tumor usually appear well. Physical examination of patients with glomus tumor is usually remarkable for small (usually less than 2cm), blue or red palpable nodules which are usually distributed in the acral regions (subungual most common) and nail deformities.

Physical examination

  • Physical examination of patients with a glomus tumor is usually remarkable for the following findings:[1]
  • Physical examination of patients with glomus tumors is usually remarkable for the following:[2][3]
Test Procedure Response Sensitivity Specificity Accuracy

Love’s pin test

  • Pinhead pressure over tumor
  • Severe pain
  • 100%
  • 0%
  • 78%

Hildreth’s test

  • No pain
  • 71.4%
  • 100%
  • 78%

Cold sensitivity test

  • Cold water over hand
  • Severe pain
  • 100%
  • 100%
  • 100%

References

  1. Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L; et al. (1996). “Glomus tumours of the hand. A retrospective study of 51 cases”. J Hand Surg Br. 21 (2): 257–60. PMID 8732413.
  2. Macharia C, Nthumba PM (2015). “Glomus tumor presenting as complex regional pain syndrome of the left upper limb: a case report”. J Med Case Rep. 9 (1): 293. doi:10.1186/s13256-015-0793-3. PMC 4693409. PMID 26715068.
  3. Giele H (2002). “Hildreth’s test is a reliable clinical sign for the diagnosis of glomus tumours”. J Hand Surg Br. 27 (2): 157–8. doi:10.1054/jhsb.2001.0724. PMID 12027491.

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