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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

  1. ↑ name=”pmid6101635″>Hannington-Kiff JG (1980). “Absent thigh adductor reflex in obturator hernia”. Lancet. 1 (8161): 180. PMID 6101635.
  2. ↑ 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]