Ankle & Foot Neurological & Vascular Evidence: suggestive

Buerger’s Test Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

Buerger’s Test Orthopedic Special Test

What is it used for?

  • Assessing arterial blood supply to the leg (Peripheral Arterial Disease).

How to Perform

  • Step 1 (Elevation): Patient lies supine. Elevate the leg to 45° for 3 minutes. Observe foot color.
  • Step 2 (Dependency): Patient sits up quickly with legs hanging over the edge. Observe the refill time and color return.

Interpretation of Results

  • Positive Test:
    • Elevation: The foot turns pale (pallor) quickly.
    • Dependency: The foot turns bright red (rubor) which is known as "reactive hyperemia."

References

  • Magee, D. J. (2021). Orthopedic Physical Assessment (7th ed.). Elsevier.