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Tinel's Percussion Test For Nerve Involvement

Tinel's Percussion Test For Nerve Involvement To the Editor:— Regarding "Tinel's Percussion Test for Intraspinal Sensory Nerve Root Involvement" (208: 152, 1969), the example mentioned by Dr. Scott was that of pain and other sensory symptoms radiating into the thumb and index finger. He does not mention where he elicited the Tinel's sign. If this is done by tapping over the flexor aspect of the wrist, he may be eliciting the paresthesia by tapping over a median nerve involved by compression at the level of the carpal canal. Contrary to the original ideas of the necessity of having sensory involvement of the entire median nerve from a carpal tunnel syndrome, it is not unusual to have involvement of only one or two fingers so far as the sensory symptoms are concerned. It also is not unusual, in my experience, to have symptoms which ten years ago I would have felt was typical of nerve root involvement http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Tinel's Percussion Test For Nerve Involvement

Rentschler, E. H.
JAMA , Volume 208 (12) – Jun 23, 1969
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Tinel's Percussion Test For Nerve Involvement

Abstract



To the Editor:—
Regarding "Tinel's Percussion Test for Intraspinal Sensory Nerve Root Involvement" (208: 152, 1969), the example mentioned by Dr. Scott was that of pain and other sensory symptoms radiating into the thumb and index finger. He does not mention where he elicited the Tinel's sign. If this is done by tapping over the flexor aspect of the wrist, he may be eliciting the paresthesia by tapping over a median nerve involved by...
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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1969.03160120061019
Publisher site
See Article on Publisher Site

Abstract

To the Editor:— Regarding "Tinel's Percussion Test for Intraspinal Sensory Nerve Root Involvement" (208: 152, 1969), the example mentioned by Dr. Scott was that of pain and other sensory symptoms radiating into the thumb and index finger. He does not mention where he elicited the Tinel's sign. If this is done by tapping over the flexor aspect of the wrist, he may be eliciting the paresthesia by tapping over a median nerve involved by compression at the level of the carpal canal. Contrary to the original ideas of the necessity of having sensory involvement of the entire median nerve from a carpal tunnel syndrome, it is not unusual to have involvement of only one or two fingers so far as the sensory symptoms are concerned. It also is not unusual, in my experience, to have symptoms which ten years ago I would have felt was typical of nerve root involvement

Journal

JAMA – American Medical Association

Published: Jun 23, 1969

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