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Tinels Test

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Other Names

Tinels Test
Tinel's test performed with a reflex hammer[1]
Clinical demonstration of Tinel's Test for Carpal Tunnel Syndrome[2]
  • Tinels Test
  • Tinel Sign
  • Tinel’s Test
  • Hoffman-Tinel sign

Purpose

  • Used to evaluate nerves as an etiology of patients symptoms
  • Most commonly used to evaluate for carpal tunnel syndrome
  • Can be used on many peripheral nerves

Description

Carpal Tunnel Syndrome

  • Patient is seated, elbow flexed and forearm supinated
  • Examiner holds patients affected wrist in hand
  • The examiner gently taps finger over area of flexor retinaculum on the median nerve
  • Continue percussing and move up towards the palmar creases.
  • Return back to the flexor retinaculum
  • Positive test:
    • Reproduction of the patients symptoms (pain, numbness, tingling)

Ulnar Nerve

  • The ulnar nerve can be compressed at the cubital tunnel or at Guyon's canal

Lateral Femoral Cutaneous Nerve (LFCN)

  • The LFCN can be palpated as it exits the inguinal ligament region

Tarsal Tunnel Syndrome

  • Tap the tibial nerve directly over the flexor retinaculum posterior to the medial malleolus.
  • Proximal radiation of symptoms towards calf is called Valleix phenomenon[3]

Pathology

Upper Extremity

Lower Extremity


Evidence

Tarsal Tunnel Syndrome

  • Schiweterman et al[4]
    • Sensitivity: 53%
    • Specificity: no reported

See Also


References

  1. Kitaoka, Hiroaki, et al. "JCS 2020 guideline on diagnosis and treatment of cardiac amyloidosis." Circulation Journal 84.9 (2020): 1610-1671.
  2. Image courtesy of uptodate.com, "The Tinel test for median nerve injury at the carpal tunnel"
  3. Merriman L, Turner W. Assessment of the lower limb. 2nd ed. London, UK: Churchill Livingstone; 2002.
  4. Schwieterman, Braun et al. “Diagnostic accuracy of physical examination tests of the ankle/foot complex: a systematic review.” International journal of sports physical therapyvol. 8,4 (2013): 416-26.
Created by:
John Kiel on 13 August 2019 03:51:14
Authors:
Last edited:
31 May 2023 23:06:44
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