Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1989 December; 82(12): 729–731.
PMCID: PMC1292415

Significance of Buerger's test in the assessment of lower limb ischaemia.


In claudicants with arteriosclerosis obliterans admitted for vascular surgery, Buerger's test was compared with other indicators of lower limb ischaemia. Rest pain, gangrene, trophic changes, and chronic erythromelia were significantly commoner and more distal pulses were absent in Buerger positive limbs. Doppler and transcutaneous oxygen pressures and indices were significantly lower in Buerger positive legs. Significantly more occlusions were noted on arteriography in arteries distal to the adductor hiatus in the Buerger positive group. Buerger's test is a useful adjunct to routine peripheral vascular assessment and, if positive, suggests more severe ischaemia with distal limb artery involvement.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (525K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bollinger A, Breddin K, Hess H, Heystraten FM, Kollath J, Konttila A, Pouliadis G, Marshall M, Mey T, Mietaschk A, et al. Semiquantitative assessment of lower limb atherosclerosis from routine angiographic images. Atherosclerosis. 1981 Feb-Mar;38(3-4):339–346. [PubMed]
  • Strandness DE, Jr, Schultz RD, Sumner DS, Rushmer RF. Ultrasonic flow detection. A useful technic in the evaluation of peripheral vascular disease. Am J Surg. 1967 Mar;113(3):311–320. [PubMed]
  • Yao ST. Haemodynamic studies in peripheral arterial disease. Br J Surg. 1970 Oct;57(10):761–766. [PubMed]
  • Huch R, Lübbers DW, Huch A. Quantitative continuous measurement of partial oxygen pressure on the skin of adults and new-born babies. Pflugers Arch. 1972;337(3):185–198. [PubMed]
  • Spence VA, McCollum PT, Walker WF. Transcutaneous oxygen measurements (TcpO2) Br J Surg. 1984 Jun;71(6):481–482. [PubMed]
  • Hauser CJ, Shoemaker WC. Use of a transcutaneous PO2 regional perfusion index to quantify tissue perfusion in peripheral vascular disease. Ann Surg. 1983 Mar;197(3):337–343. [PubMed]
  • LUDBROOK J, CLARKE AM, McKENZIE JK. Significance of absent ankle pulse. Br Med J. 1962 Jun 23;1(5294):1724–1726. [PMC free article] [PubMed]
  • Hauser CJ, Appel P, Shoemaker WC. Pathophysiologic classification of peripheral vascular disease by positional changes in regional transcutaneous oxygen tension. Surgery. 1984 Jun;95(6):689–693. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press