Tinel Test

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 Tinel Test


What is Tinel Test?

Tinel Test is used to evaluate nerve injuries, neuromas, and compression, it’s especially for carpal tunnel syndrome and tarsal tunnel syndrome.

It was named after Jules Tinel (1879–1952), French neurologist,  who published his article in October 1915.


How it’s Performed?

What does a positive Tinel Test mean?

Sensitivity & Specificity

Notes

Variations exist between studies on the location and number of taps necessary to elicit a positive response, and in some studies the test is performed by tapping the median nerve in 20 degrees of wrist extension, while others tap along the path of the median nerve up to where the median nerve enters the carpal tunnel.

Reference

  1. 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
  2. Chin-Wei Liu, Tien-Wen Chen, Ming-Cheng Wang, Chia-Hsin Chen, Chia-Ling Lee, Mao-Hsiung Huang: Relationship between Carpal Tunnel Syndrome and wrist angle in computer workers. Kaohsiung J Med Sci. 2003 Dec;19(12):617-23. doi: 10.1016/S1607-551X(09)70515-7. PMID: 14719559
  3. Clinical Tests for the Musculoskeletal 3rd Ed. Book



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