Bikele’s Sign can indicate signs of nerve root tension, Brachial plexus neuritis and/or meningitis.
- Patient seated and instructed to abduct their shoulder to 90° as well as fully flex the elbow.
- Examiner then instructs patient to extend elbow
Positive Bikele’s Sign
Reproduction of radicular symptoms: Nerve root tension, brachial plexus neuritis, possibly meningitis
Space-occupying lesion, in spinal cord or lung apex, fractured clavicle or cervical rib.