Tinel sign

Tinel sign
Tinel sign
Classification and external resources

Transverse section across the wrist and digits. (The median nerve is the yellow dot near the center. The carpal tunnel is not labeled, but the circular structure surrounding the median nerve is visible.)
ICD-10 G56.0
ICD-9 354.0
OMIM 115430
DiseasesDB 2156
MedlinePlus 000433
eMedicine orthoped/455 pmr/21 emerg/83 radio/135
MeSH D002349

Tinel's sign is a way to detect irritated nerves. It is performed by lightly tapping (percussing) over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve.It takes its name from French neurologist Jules Tinel (1879-1952).[1][2][3]

For example, in carpal tunnel syndrome where the median nerve is compressed at the wrist, Tinel's sign is often "positive" causing tingling in the thumb, index, and middle finger. Tinel's sign is sometimes referred to as "distal tingling on percussion" or DTP. This distal sign of regeneration can be expected during different stage of somatosensory recovery.[4]

See also

References

  1. ^ Tinel, J., Nerve wounds. London: Baillère, Tindall and Cox, 1917
  2. ^ Tinel, J. (1915) Le signe du fourmillement dans les lésions des nerfs périphériques. Presse médicale, 47, 388-389
  3. ^ Tinel, J. (1978) The "tingling sign" in peripheral nerve lesions (Translated by EB Kaplan). In: M. Spinner M (Ed.), Injuries to the Ma jor Branches of Peripheral Nerves of the Forearm. (2nd ed.) (pp 8-13). Philadelphia: WD Saunders Co
  4. ^ Spicher, C.; Kohut, G.; Miauton, J. (1999). "At which stage of sensory recovery can a tingling sign be expected? A review and proposal for standardization and grading". Journal of hand therapy : official journal of the American Society of Hand Therapists 12 (4): 298–308. PMID 10622196.  edit

External links

v · d · eEponymous medical signs · nervous system
CNS
Head, general
Other
Romberg's test · increased intracranial pressure (Cushing's triad) · Miller Fisher test
PNS
Combination
Lower limb
Upper limb
Other torso/limbs
Upper limb
Froment's sign · carpal tunnel syndrome (Tinel sign, Phalen maneuver)
Lower limb
Abadie's sign of tabes dorsalis · Gowers' sign · Hoover's sign · Lasègue's sign · Trendelenburg's sign
Torso
General
Todd's paresis · Jolly's test
Mental/behavioral

M: CNS

anat(n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp

noco(m/d/e/h/v/s)/cong/tumr, sysi/epon, injr

proc, drug(N1A/2AB/C/3/4/7A/B/C/D)

M: PNS

anat(h/r/t/c/b/l/s/a)/phys(r)/devp/prot/nttr/nttm/ntrp

noco/auto/cong/tumr, sysi/epon, injr

proc, drug(N1B)

M: PSO/PSI

mepr

dsrd (o, p, m, p, a, d, s), sysi/epon, spvo

proc(eval/thrp), drug(N5A/5B/5C/6A/6B/6D)
v · d · eMedical records and physical exam
Admission

CC · HPI (OPQRST) · ROS · Allergies/Medications · PMH/PSH/FH/SH

Psychiatric history
PE
(incl.
intimate)
General/IPPA
T · HR · BP · RR
HEENT

Lungs: Respiratory sounds

Other: Cyanosis · Clubbing
Cardiovascular
Liver span · Rectal · Murphy's sign · Bowel sounds
Back (Straight leg raise) · Knee (McMurray test) · Hip · Wrist (Tinel sign, Phalen maneuver) · Shoulder (Adson's sign) · GALS screen
Neonatal
L/I
A/P
Progress

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Look at other dictionaries:

  • Tinel sign — Ti·nel sign (te nelґ) [Jules Tinel, French neurologist, 1879–1952] see under sign …   Medical dictionary

  • Tinel sign — a tingling sensation in the distal end of a limb when percussion is made over the site of a divided nerve. It indicates a partial lesion or the beginning regeneration of the nerve. Called also DTP s., formication s., and distal tingling on… …   Medical dictionary

  • Hoffmann-Tinel sign —    see Tinel Hoffmann sign …   Dictionary of Hallucinations

  • Tinel-Hoffmann sign —    Also known as Tinel s sign, Tinel s sign of formication, Tinel s symptom, and Hoffmann Tinel sign. The eponym Tinel Hoffmann sign refers to the French neurologist Jules Tinel (18791952), and the German physiologist Paul Hoffmann (1884 1962),… …   Dictionary of Hallucinations

  • Tinel's sign — is a way to detect irritated nerves. It is performed by lightly tapping (percussing) over the nerve to elicit a sensation of tingling or pins and needles in the distribution of the nerve.It takes its name from French physician Jules Tinel (1879… …   Wikipedia

  • Tinel's sign — An examination test that is used by doctors to detect an irritated nerve. Tinel s sign is performed by lightly banging (percussing) over the nerve to elicit a sensation of tingling or pins and needles in the distribution of the nerve. For example …   Medical dictionary

  • Sign, Tinel's — An examination test that is used by doctors to detect an irritated nerve. Tinel s sign is performed by lightly banging (percussing) over the nerve to elicit a sensation of tingling or pins and needles in the distribution of the nerve. For example …   Medical dictionary

  • Sign — Any abnormality that indicates a disease process, such as a change in appearance, sensation, or function, that is observed by a physician when evaluating a patient. * * * 1. Any abnormality indicative of disease, discoverable on examination of… …   Medical dictionary

  • Tinel's sign —    see Tinel Hoffmann sign …   Dictionary of Hallucinations

  • Tinel's symptom —    see Tinel Hoffmann sign …   Dictionary of Hallucinations

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