
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Obturator hernia physical examination
Introduction
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Overview
Overview
Physical Examination
Physical Examination
- Physical signs of obturator hernia may not be immediately evident as they are operator dependent.
- Groin mass is seen in few cases.
- Howship-Romberg sign
- The Howship-Romberg sign is suggestive of an obturator hernia, exacerbated by thigh extension, medial rotation and adduction. It is characterized by lancilating pain in the medial thigh/obturator distribution, extending to the knee; caused by hernia compression of the Obturator nerve.
- Compression of Obturator Nerve may lead to absence of adductor reflex in the thigh in the presence of a positive Patellar reflex.This is called Hannington-Kiff sign.[1]
- Hannington-Kiff sign is more specific than Howship-Romberg sign.[2]
Reference
Reference
- ↑ name=”pmid6101635″>Hannington-Kiff JG (1980). “Absent thigh adductor reflex in obturator hernia”. Lancet. 1 (8161): 180. PMID 6101635.
- ↑ name=”pmid9240957″>Naude G, Bongard F (1997). “Obturator hernia is an unsuspected diagnosis”. Am J Surg. 174 (1): 72–5. doi:10.1016/S0002-9610(97)00024-X. PMID 9240957.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
