Indications

Moszkowicz test is an ankle examination procedure that tests for arteriovenous insufficiency of the lower extremity. The lower limb is made anemic by using a tourniquet bandage removed after 5 minutes.

Procedure

Patient should be awake and cooperative in performing the Moszkowicz test.

  1. Patient should be supine with one leg straight.
  2. The examiner elevates the leg to approximately 20 degrees and then firmly wraps this with a bandage.
  3. The examiner maintains the leg in elevation for 5 minutes.
  4. The examiner returns the leg to its original position on the examination table and the elastic bandage quickly removed.
  5. The examiner checks for hyperimic blush after the removal of the bandage.

Interpretation

Positive  Moszkowicz Test

Normally, after the bandage is removed, a hyperemic blush occurs rapidly on the leg.

There is positive Moszkowicz test when there is a decreased or nonexistent hyperemic blush following the removal of the bandage. This indicates arteriovenous insufficiency of the lower extremity.

Clinical Notes

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