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Tinels Test

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Other Names

  • Tinels Test
  • Tinel Sign
  • Tinel’s Test
  • Hoffman-Tinel sign

Purpose

Clinical demonstration of Tinel's Test for Carpal Tunnel Syndrome[1]
  • 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

  • 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)

Lateral Femoral Cutaneous Nerve (LFCN)

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

Ulnar Nerve

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

Pathology

Upper Extremity

Lower Extremity


Evidence

  • Unknown

See Also


References

  1. Image courtesy of uptodate.com, "The Tinel test for median nerve injury at the carpal tunnel"
Created by:
John Kiel on 13 August 2019 03:51:14
Authors:
Last edited:
23 January 2023 15:51:16
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