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Springing test for differentiating a cervical rib tip from a supraclavicular lymph node.

P S Venkatesh Rao1

  • 1Department of Surgery, University College of Medical Sciences, Delhi, India.

The Japanese Journal of Surgery
|September 1, 1988
PubMed
Summary
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A simple springing test can differentiate cervical ribs from enlarged lymph nodes in the supraclavicular area. This clinical maneuver helps avoid unnecessary biopsies for palpable neck swellings.

Area of Science:

  • Anatomy
  • Clinical Diagnostics

Background:

  • Cervical ribs can present as palpable supraclavicular swellings.
  • These swellings are often misdiagnosed as enlarged lymph nodes.

Purpose of the Study:

  • To describe a simple clinical test to differentiate cervical ribs from supraclavicular lymph nodes.
  • To reduce unnecessary surgical interventions for misdiagnosed cervical ribs.

Main Methods:

  • A physical examination technique called the springing test was employed.
  • Intermittent pressure was applied to the supraclavicular fossa to assess swelling movement.

Main Results:

  • The springing test effectively differentiated between cervical ribs and lymph nodes.
  • Cervical rib tips moved with the test, while lymph nodes did not.

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Conclusions:

  • The springing test is a valuable diagnostic tool for supraclavicular swellings.
  • Routine use of this test can prevent unnecessary lymph node biopsies and surgical exploration.