June 1958

A Maneuver of Help in Diagnosis of Ruptured Disk

AMA Arch Surg. 1958;76(6):986-987. doi:10.1001/archsurg.1958.01280240144023

Any test which may yield additional evidence in differentiating the syndrome of ruptured intervertebral disk from low back conditions with similar clinical pictures should be a welcome addition to one's armamentarium. At present several tests are in use, the most frequently practiced being the straight-leg raising, Lasègue, jugular compression, and sciatic-nerve-stretching tests. Aird and Naffziger1 and Aird2 suggested a test which may also be employed. They modified the standard digital jugular compression test by placing a blood pressure cuff around the neck and inflating it to 40 mm. Hg. They recommended keeping the cuff inflated for 10 minutes, since in some cases positive results did not occur for as long as seven or eight minutes. Bradford and Spurling,3 however, disagree with this time interval and claim that important observations are not made after the first 30 seconds. The significant point in this test is that not only

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