Hoffmann征（Hoffmann sign）.docVIP

Hoffmann征（Hoffmann sign） Hoffmann syndrome is the upper limb pyramidal sign, check method is to use one hand to hold the patients wrist and wrist joint dorsiflexion slightly, the fingers slightly flexed, the doctor with the right hand of the food, two fingers in patients with finger distal interphalangeal joint, the thumb nails scraping down rapidly in patients with normal reaction the patient, such as thumb adduction, the rest that is flexion is positive. In some normal subjects, bilateral symmetry is positive and there is no diagnostic significance. Hoffmann sign occurs in the pyramidal tract or in the motor cortex of the brain. It is a manifestation of pyramidal tract sign in the upper extremity. After excluding the lesions of the cerebral cortex, the main lesion is the lesion of the pyramidal tract of the cervical spinal cord. Although Hoffmann syndrome can occur in normal people, but the static and dynamic negative positive undoubtedly has important clinical significance, various cervical degenerative factors dynamic Hoffmann syndrome was confirmed existing has posed a serious threat to the function of the spinal cord, the syndrome can be used as an early effective one of the neurological signs in diagnosis of cervical spondylotic myelopathy. In the wrist flexion, 15 degrees, 0 degrees, 30 degrees and 60 degrees of Hoffmann were performed. (when the wrist was in different position, the corresponding middle finger was flexed or bent naturally). Hoffmann syndrome examined by general method, will be checked pronation of the forearm, palm down, check to be checked in the palm side of plucking nail, if the other (mainly refers to the index finger) fast buckling is positive. The flexion and extension angle of wrist joint is different, and the influence of Hoffmann sign is determined by the mechanism of Hoffmann sign. Which refers to the nail was plucked in finger deep flexor by fast pulling muscle stretch receptors of muscle spindle afferent nerve stimulation and fee