[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.163.147.69. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
June 9, 1923

SUPRACLAVICULAR DEPRESSIONS IN THE DIAGNOSIS OF EARLY PULMONARY TUBERCULOSIS

Author Affiliations

RAY BROOK, N. Y.
From the New York State Hospital for Incipient Pulmonary Tuberculosis.

JAMA. 1923;80(23):1670-1674. doi:10.1001/jama.1923.02640500012005
Abstract

Supraclavicular depressions, particularly if unequal or unilateral, are generally regarded as suggestive evidence of tuberculous disease at the apex of the lung. In the recent classification of pulmonary tuberculosis adopted by the American Sanatorium Association,1 a slight depression above the clavicle is mentioned among the physical signs of early or minimal tuberculosis. In attempts to estimate the value of this sign, however, observers apparently have failed to recognize the significance of similar depressions occurring in healthy persons. This is an important fact to establish, because the relative value of a sign in disease is decreased proportionately with the frequency of its occurrence in health. With this point in mind, we made a comparative study of the incidence, distribution and depth of the supraclavicular depressions in 153 healthy adults and 150 patients with incipient pulmonary tuberculosis.

At the same time, an attempt was made to discover methods of differentiating the

First Page Preview View Large
First page PDF preview
First page PDF preview
×