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The flexion-adduction sign in neuralgic amyotrophy

Department of Neurology, Stanford University School of Medicine and Veterans Administration Medical Center, Palo Alto, California.

In the "flexion-adduction" sign, the arm is maintained in a posture of flexion at the elbow and adduction at the shoulder. Abduction and lateral rotation of the arm, with the elbow in extension, may result in radicular pain. These signs may be useful in the evaluation of patients with cervical root or brachial plexus lesions.

Reprint requests should be addressed to Dr. Waxman, Neurological Unit (127), Veterans Administration Medical Center, 3801 Miranda Avenue, Palo Alto, CA 94304.

This work was supported in part by the Medical Research Service, U.S. Veterans Administration, and by the Paralyzed Veterans of America.

Accepted for publication February 20, 1979.