Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica

Spine

Volumn 36, Issue 11, 2011, Pages

  Hancock, Mark J ^a   Koes, Bart ^b   Ostelo, Raymond ^c,d   Peul, Wilco ^e,f  

^a UNIVERSITY OF SYDNEY   (Australia)

^b ERASMUS MEDICAL CENTER   (Netherlands)

^c VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^d VU UNIVERSITY AMSTERDAM   (Netherlands)

^e LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^f MEDICAL CENTER HAAGLANDEN   (Netherlands)

Author keywords

clinical examination; disc herniation; Low back pain; MRI; sciatica

Indexed keywords

ACHILLES REFLEX; ADULT; ARTICLE; CLINICAL EXAMINATION; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; FEMALE; HUMAN; INTERVERTEBRAL DISK HERNIA; ISCHIALGIA; LUMBAR DISK; MAJOR CLINICAL STUDY; MALE; NEUROLOGIC EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; PAIN; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; SENSORY SYSTEM;

ADOLESCENT; ADULT; AGED; CROSS-SECTIONAL STUDIES; DIAGNOSTIC ERRORS; FEMALE; HUMANS; INTERVERTEBRAL DISC DISPLACEMENT; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; NEUROLOGIC EXAMINATION; SCIATICA; YOUNG ADULT;

EID: 79955658146     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0b013e3181ee7f78     Document Type: Article

References (11)

1. Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain? JAMA 1992; 268: 760-5.
2. Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ 2007; 334: 1313-7. (Pubitemid 46999829)
3. Kortelainen P, Puranen J, Koivisto E, et al. Symptoms and signs of sciatica and their relation to the localization of the lumbar disc herniation. Spine 1985; 10: 88-92. (Pubitemid 15143534)
4. Vroomen PC, de Krom MC, Knottnerus JA. Diagnostic value of his-tory and physical examination in patients suspected of sciatica due to disc herniation: a systematic review. J Neurol 1999; 246: 899-906. (Pubitemid 29512159)
5. Vroomen PC, de Krom MC, Wilmink JT, et al. Diagnostic value of history and physical examination in patients suspected of lumbosa-cral nerve root compression. "see comment". J Neurol Neurosurg Psychiatry 2002; 72: 630-4. (Pubitemid 34462818)
6. Jensen OH. The level-diagnosis of a lower lumbar disc hernia-tion: the value of sensibility and motor testing. Clin Rheumatol 1987; 6: 564-9.
7. Peul WC, van Houwelingen HC, Van Den Hout WB, et al. Surgery versus prolonged conservative treatment for sciatica. N Engl J Med 2007; 356: 2245-56. (Pubitemid 46849155)
8. Peul WC, van Houwelingen HC, Van Der Hout WB, et al. Pro-longed conservative treatment or 'early' surgery in sciatica caused by a lumbar disc herniation: rationale and design of a randomized trial "ISRCT 26872154". BMC Musculoskelet Disord 2005; 6: 8.
9. Fardon DF, Milette PC, et al., Combined Task Forces of the North American Spine Society ASoSR, Nomenclature and classification of lumbar disc pathology. Recommendations of the Combined task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. Spine 2001; 26: E93-113.
10. Haldeman S, Shouka M, Robboy S. Computed tomography, elec-trodiagnostic and clinical findings in chronic workers' compensa-tion patients with back and leg pain. Spine 1988; 13: 345-50.
11. Hudgins WR. The crossed straight leg raising test: a diagnostic sign of herniated disc J Occup Med 1979; 21: 407-8 (Pubitemid 9196238)