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

Revision as of 14:53, 1 July 2016

<html5media height="300" width="320">File:Newborn n 07.mp4</html5media>

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.

See also Scarf Sign Assessment below.

Scarf Sign Assessment
This Scarf Sign assessment based upon 1970 study criteria.^[1] 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.
Reference ↑ <pubmed>5430794</pubmed>

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 18) Embryology Neural Exam - Newborn tone - scarf sign. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Neural_Exam_-_Newborn_tone_-_scarf_sign

@@ Line 6: / Line 6: @@
 * The hand should not go past the shoulder and the elbow should not cross the midline of the chest.
-See also [[#Scarf Sign Assessment|Scarf Sign Assessment]] below.
+See also Scarf Sign Assessment below.
 {{Newborn NeuroExam}}
 |-
 |}
 {|
 ! Scarf Sign Assessment
 |-
 | width=50%|This Scarf Sign assessment based upon 1970 study criteria.<ref name="PMID5430794"><pubmed>5430794</pubmed></ref> 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
+| '''Score'''
 * 0 - Elbow reaches opposite axillary line
 * 1 - Elbow between midline and opposite axillary line
@@ Line 24: / Line 21: @@
 * 3 - Elbow will not reach midline.
 |-
-| Reference
+! Reference
 <references/>
 |}