Indications

Homan’s Test is an ankle examination procedure that tests for thrombophlebitis and gastrosoleus strain. It is also called the dorsiflexion sign and is used to assess for deep vein thrombosis.

Procedure

Patient should be awake and cooperative for Homan’s test.

  1. Patient should be supine with the leg straight.
  2. The examiner raises the patient’s straight leg to 10 degrees and forcefully dorsiflexes the foot and squeezes the calf with the other hand. He may also use a blood pressure cuff for this procedure.
  3. The examiner checks for deep calf pain or persistent calf pain.

The examiner raises the patient’s head and forcefully dorsiflexes the foot and squeezes the calf.

Interpretation

Positive Homan’s Test

  • Short duration “deep” calf pain – thrombophlebitis
  • Persistent “achy” calf pain – Gastrosoleus strain

Clinical Notes

Thrombophlebitis is also known as “intravascular coagulation” which refers to inflammation and thrombosis of a vein due to local trauma, intravenous infusion, hypercoaguable state or damage to the endothelial lining of the veins all of which may ultimately result in venous blood stasis.