Tinel’s Sign at the Wrist

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Tinel's Sign at the Wrist

aka. “Tinel’s Test at the Wrist”

Tinel's Sign at the Wrist

Patient Position

  • Seated (or standing)
  • Elbow flexed, forearm supinated, and wrist in slight extension

Procedure Steps

  • Examiner taps the median nerve as it travels through the carpal tunnel and also just proximal to it [can use reflex hammer or fingers]

Positive Sign / Significance

  • Tingling or pain in the median nerve distribution (thumb, index, middle, and half of the ring fingers) = Carpal tunnel syndrome
Comments
  • Also useful in identifying the most proximal point of nerve regeneration, or the most distal point of nerve degeneration.
  • For more details on carpal tunnel syndrome (CTS), click here

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