Golmsa Symptom

Holmes' sign is one of the most well-known symptoms used to determine the presence of a heel bone fracture. First described in 1914 by John Benson Holmes, this symptom is one of the most accurate methods for diagnosing calcaneal injury, which can lead to serious consequences such as fracture and incomplete healing of the bone.

Holmes symptoms The manifestation of Holmes syndrome occurs in several stages:

1. The patient lies in bed and raises the lower limb, after which the facial muscles shorten and the pupils narrow to the size of a pinhead. 2. Completing a symmetrical contraction of the first five lasts about three seconds. 3. The patient sits down, then leans on his arms and alternately bends both limbs at the elbows, without touching the floor, while the first phalanx of the third finger of the second limb is rotated so as to become in line with the second phalanx of the fifth finger of the left limb. 4. Next, the patient takes a position on the right side. After performing a series of movements, the examiner should find deformation of the olecranon fossa at the location of the medial calcaneal-ankle muscle, as well as the tendons of the biceps brachii and pronator teres. At the same time, you need to examine the front surface of both legs and palms. 5. Any doctor will determine a crack in the heel tubercle or foot by sequentially carrying out all the steps. If pathology of the second and third degrees is detected, the symptoms will be visible already at the first stage. Most often, with Holmes syndrome, the last stage is not detected. The Holmes sign is widely used by doctors for the primary diagnosis of bone fractures.