Bikele’s Sign

Indications

Bikele’s Sign can indicate signs of nerve root tension, Brachial plexus neuritis and/or meningitis.


Procedure

  1. Patient seated and instructed to abduct their shoulder to 90° as well as fully flex the elbow.
  2. Examiner then instructs patient to extend elbow
  3. Bikele Sign Othropedic/neurological exam

    Patient seated and instructed to abduct their shoulder to 90° as well as fully flex the elbow.

    Bikele Sign Orthopaedics exam

    Examiner then instructs patient to extend elbow

Interpretation

Positive Bikele’s Sign

Reproduction of radicular symptoms: Nerve root tension, brachial plexus neuritis, possibly meningitis

Clinical Notes

Differential Diagnosis

Space-occupying lesion, in spinal cord or lung apex, fractured clavicle or cervical rib.