Traube's (semilunar) space is an anatomic space of some clinical importance. It is a crescent-shaped space, encompassed by the lower edge of the left lung, the anterior border of the spleen, the left costal margin and the inferior margin of the left lobe of the liver. Thus, its surface markings are respectively the left sixth rib superiorly, the left mid axillary line laterally, and the left costal margin inferiorly.
Traube's space
Surface lines of the front of the thorax and abdomen. (Traube's space not labeled, but is in the left hypochondriac region.)
The normal human spleen measures about 125 millimeters in length, and splenomegaly is an important clinical sign. There are 2 possibilities to evaluate splenomegaly in the clinical examination: percussion and palpation.[1] Percussion can be done in this space.
Beneath Traube's space lies the stomach, which produces a tympanic sound on percussion. Dullness to percussion over Traube's space may indicate splenomegaly, although this can also be a normal finding after a meal or may indicate certain pathologies, e.g. enlarged left lobe of the liver, a fundus mass, a left pleural effusion or a massive pericardial effusion. Assessing dullness to percussion may be more difficult in obese patients.
A 1993 systematic review by The Rational Clinical Examination found that, as a test for splenomegaly, percussion over Traube's space yields a sensitivity and specificity of 62% and 72%, respectively.[2] Specificity may be higher if the patient has not eaten in the last two hours.[2]
Eponymedit
It is named for Ludwig Traube, although it was first described by his pupil in 1868.[3] Another method was described by Donald O. Castell in 1967 (Castell's sign).
^Dubey S, Swaroop A, Jain R, Verma K, Garg P, Agarwal S (2000). "Percussion of Traube's space--a useful index of splenic enlargement". The Journal of the Association of Physicians of India. 48 (3): 326–8. PMID 11229121.
^ abGrover SA, Barkun AN, Sackett DL (1993). "The rational clinical examination. Does this patient have splenomegaly?". JAMA. 270 (18): 2218–21. doi:10.1001/jama.270.18.2218. PMID 8411607.
traube, space, traube, semilunar, space, anatomic, space, some, clinical, importance, crescent, shaped, space, encompassed, lower, edge, left, lung, anterior, border, spleen, left, costal, margin, inferior, margin, left, lobe, liver, thus, surface, markings, r. Traube s semilunar space is an anatomic space of some clinical importance It is a crescent shaped space encompassed by the lower edge of the left lung the anterior border of the spleen the left costal margin and the inferior margin of the left lobe of the liver Thus its surface markings are respectively the left sixth rib superiorly the left mid axillary line laterally and the left costal margin inferiorly Traube s spaceSurface lines of the front of the thorax and abdomen Traube s space not labeled but is in the left hypochondriac region SpleenAnatomical terminology edit on Wikidata Contents 1 Percussion for splenomegaly 2 Eponym 3 See also 4 References 5 External linksPercussion for splenomegaly editThe normal human spleen measures about 125 millimeters in length and splenomegaly is an important clinical sign There are 2 possibilities to evaluate splenomegaly in the clinical examination percussion and palpation 1 Percussion can be done in this space Beneath Traube s space lies the stomach which produces a tympanic sound on percussion Dullness to percussion over Traube s space may indicate splenomegaly although this can also be a normal finding after a meal or may indicate certain pathologies e g enlarged left lobe of the liver a fundus mass a left pleural effusion or a massive pericardial effusion Assessing dullness to percussion may be more difficult in obese patients A 1993 systematic review by The Rational Clinical Examination found that as a test for splenomegaly percussion over Traube s space yields a sensitivity and specificity of 62 and 72 respectively 2 Specificity may be higher if the patient has not eaten in the last two hours 2 Eponym editIt is named for Ludwig Traube although it was first described by his pupil in 1868 3 Another method was described by Donald O Castell in 1967 Castell s sign See also editAbdominal examinationReferences edit Dubey S Swaroop A Jain R Verma K Garg P Agarwal S 2000 Percussion of Traube s space a useful index of splenic enlargement The Journal of the Association of Physicians of India 48 3 326 8 PMID 11229121 a b Grover SA Barkun AN Sackett DL 1993 The rational clinical examination Does this patient have splenomegaly JAMA 270 18 2218 21 doi 10 1001 jama 270 18 2218 PMID 8411607 synd 3182 at Who Named It External links editImage at luc edu Retrieved from https en wikipedia org w index php title Traube 27s space amp oldid 1161912394, wikipedia, wiki, book, books, library,
