Sharp Purser Test: Difference between revisions
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== Evidence == | == Evidence == | ||
Uitvlugt and Indenbaum compared the Sharp-Purser Test to a gold standard of lateral flexion/extension radiographs. | Uitvlugt and Indenbaum<ref name="uitvlugt" /> compared the Sharp-Purser Test to a gold standard of lateral flexion/extension radiographs. | ||
== Resources == | == Resources == | ||
Revision as of 05:30, 1 July 2009
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Purpose
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To detect upper cervical instability.
Technique
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The patient is seated, with the neck comfortably semi-flexed. The examiner places the palm of one hand on the patient's forehead, and the index finger of the other hand on the tip of the axis. The examiner pushes posteriorly on the patient's forehead. A sliding motion of the head in relation to the axis indicates atlantoaxial instability.[1] A positive result may also be accompanied by a reduction in symptoms[2], a "clunk" sensation, or patient reports of a "click" or "clunk" felt in the roof of their mouth.
Evidence[edit | edit source]
Uitvlugt and Indenbaum[3] compared the Sharp-Purser Test to a gold standard of lateral flexion/extension radiographs.
Resources[edit | edit source]
add any relevant resources here
References
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- ↑ Uitvlugt G, Indenbaum S. Arthritis and Rheumatism. 1988; 31:918-922.
- ↑ Flynn TW, Cleland JA, Whitman JM. User's Guide to the Musculoskeletal Examination--Fundamentals for the Evidence-Based Clinician. Evidence in Motion;2008:94.
- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs nameduitvlugt
