Special examinations of the chest and the waist of trauma
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Squeezing and pressing test of thorax:
The patient sits or stands. The doctor, with his two hands putting on the symmetrical parts of front and back aspects of one side of the thorax or on the symmetrical parts of left and right aspects of both sides of the thorax, does gentle squeezing and pressing act on the thorax. If there appears remarkable pain in the traumatic part, it is positive, indicating fracture of rib.
        
Flexing test of neck:
The patient lies on his back. The operator puts one hand on the patient’s occiput, and the other hand on the patient’s chest, then, bends the patient’s head forward. If there appears lumbago or sciatica, it is positive, indicating prolapse of lumbar intervertebral disc.

Pressure test of jugular veins:
The patient lies on his back. The doctor presses the patient’s jugular vein of one or two sides with his hands for one to three minutes. Because the jugular vein is pressed, it may cause increase of pressure of subarachnoid cavity, thus influence the tension of nerve root, resulting in sciatica. This is a positive reaction, indicating an intraspinal disorder.

Raising test of the straightened leg:
The patient lies on his back with his two legs stretched out. The doctor holds the patient’s heel with one hand, keeps the patient’s knee joint straightened with the other hand, and raises the patient’s lower limb. Normally, the lower limb may be raised to more than 70°. If the limb can not be raised to this height, and there occurs radiating pain of sciatic nerve, it is positive, indicating compression of sciatic root.

Intensive raising test of the straightened leg:
In doing the raising test of the straightened leg, when the leg is raised to the maximum resulting in pain, lower the leg about 10° for relieving pain, then suddenly make dorsoflexion of the ankle. If there appears radiating pain of the sciatic nerve because of traction, it is positive. This test is used for ruling out false positive reaction caused by some other factors in doing the raising test of the straightened leg.

Traction test of femoral nerve:
The patient lies in prone position with his lower limbs straightened, the doctor raises the sick limb for hyperextension. If there is radiating pain of femoral nerve, it is positive, indicating prolapse of the disc between the third and the fourth lumbar vertebrae.

Test of lumbosacral articulation:
The patient lies in supine position. The doctor bends the patient’s hip and knee joints of both sides to the utmost, making the buttock leave from the bed, and the waist flex forward. If there appears pain in lumbosacral region, it is positive, indicating strain of lumbar region and lumbosacral vertebral diseases.


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