Neural Exam - Newborn tone - scarf sign: Difference between revisions

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* The tone of the shoulder girdle is assessed by taking the baby’s hand and pulling the hand to the opposite shoulder like a scarf.
* The tone of the shoulder girdle is assessed by taking the baby’s hand and pulling the hand to the opposite shoulder like a scarf.
* The hand should not go past the shoulder and the elbow should not cross the midline of the chest.
* The hand should not go past the shoulder and the elbow should not cross the midline of the chest.
{{Newborn NeuroExam}}
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==Scarf Sign Assessment==
With the baby supine, take the infant's hand and try to put it around the neck and as far posteriorly as possible around the opposite shoulder. Assist this maneuver by lifting the elbow across the body. See how far the elbow will go across and grade according to illustrations.
Score
* 0 - Elbow reaches opposite axillary line
* 1 - Elbow between midline and opposite axillary line
* 2 - Elbow reaches midline
* 3 - Elbow will not reach midline.
PMID 5430794


{{Newborn NeuroExam}}


{{PediNeuroLogic Exam}}
{{PediNeuroLogic Exam}}


[[Category:Human Neonatal]]
[[Category:Human Neonatal]]

Revision as of 14:48, 1 July 2016

<html5media height="300" width="320">File:Newborn n 07.mp4</html5media>
Newborn n 07.jpg
This 5-day-old infant is in the alert, quiet state.
  • The tone of the shoulder girdle is assessed by taking the baby’s hand and pulling the hand to the opposite shoulder like a scarf.
  • The hand should not go past the shoulder and the elbow should not cross the midline of the chest.
Neural Exam Movies: normal behaviour | cranial nerves | Newborn Tone - resting posture | upper extremity‎ | arm traction | arm recoil | scarf sign | hand position | lower extremity | leg traction‎ | leg recoil‎‎ | popliteal angle‎ | heel to ear | neck tone | head lag‎ | head control | Newborn Positions - prone | ventral suspension | vertical suspension | Newborn Reflexes - deep tendon reflexes | plantar reflex‎ | suck, root | Moro | Galant | stepping‎ | grasp | Newborn Head - head shape and sutures‎ | head circumference‎ | Neonatal Diagnosis


Scarf Sign Assessment

With the baby supine, take the infant's hand and try to put it around the neck and as far posteriorly as possible around the opposite shoulder. Assist this maneuver by lifting the elbow across the body. See how far the elbow will go across and grade according to illustrations.

Score

  • 0 - Elbow reaches opposite axillary line
  • 1 - Elbow between midline and opposite axillary line
  • 2 - Elbow reaches midline
  • 3 - Elbow will not reach midline.

PMID 5430794


Movie Source - Paul D. Larsen  
Movies from the PediNeuroLogic Exam website are used by permission of Paul D. Larsen, M.D., University of Nebraska Medical Center and Suzanne S. Stensaas, Ph.D., University of Utah School of Medicine. Additional materials were drawn from resources provided by Alejandro Stern, Stern Foundation, Buenos Aires, Argentina; Kathleen Digre, M.D., University of Utah; and Daniel Jacobson, M.D., Marshfield Clinic, Wisconsin. The movies are licensed under a Creative Commons Attribution-NonCommerical-ShareAlike 2.5 License.
Links: Neural Exam Movies | Movies


Cite this page: Hill, M.A. (2024, April 16) Embryology Neural Exam - Newborn tone - scarf sign. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Neural_Exam_-_Newborn_tone_-_scarf_sign

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© Dr Mark Hill 2024, UNSW Embryology ISBN: 978 0 7334 2609 4 - UNSW CRICOS Provider Code No. 00098G
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