The Perthes Test | Diagnostic tests for varicose veins

The Perthes Test | Diagnostic tests for varicose veins

This test was described by G. C. Perthes, a German surgeon, in the latter part of the 19th century. It was devised to determine the patency and competence of the deep and communicating system of veins.

    • This shows the extremities of a patient with bilateral varicose veins of the lower extremity, most marked in the left one. While the patient is standing with the veins distended with blood, a venous tourniquet is placed around the upper part of the lower leg.
    • This demonstrates the same patient raising and lowering himself on the balls of his feet, thereby repeatedly contracting the flexor muscles in his lower leg, which results in a pumping action on the deep and communicating system of veins distal to the tourniquet. It should be noted that in this patient the blood leaves the superficial varicose veins, which demonstrates that the deep and communicating systems of veins are patent and competent. This indicates that the varicosities have developed because of dilatation and incompetence of the superficial system of veins. Theoretically, according to the test, treatment should be directed pri¬≠marily to eradication of these. It has been learned, however, that with varicose veins as extensive as these there will usually be some incompetent communicating veins that will need interruption.

The Perthes Test | Diagnostic tests for varicose veins


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