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Tinel's sign

Tinel's sign (also Hoffmann-Tinel 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.[1][2] Percussion is usually performed moving distal to proximal.[2] It is named after Jules Tinel.[3][4][5]

It is a potential sign of carpal tunnel syndrome, cubital tunnel syndrome,[6] anterior tarsal tunnel syndrome[7][8] and symptomatic neuroma.[9]

History

Tinel's sign takes its name from French neurologist Jules Tinel (1879–1952), who wrote about it in a journal article published in October 1915.[3][4][5] German neurologist Paul Hoffmann independently also published an article on tinel sign six months earlier, in March 1915.[10][11] Previously, in 1909, Trotter and Davies published their findings that sensations elicited distal to the point of nerve resection are referred to the area or point of nerve resection; however they "failed to comment on the clinical relevance of their observation."[11]

See also

References

  1. ^ Gujar, Bansari; Flores, Raymond H. (2015-01-01), Hochberg, Marc C.; Silman, Alan J.; Smolen, Josef S.; Weinblatt, Michael E. (eds.), "81 - Entrapment neuropathies and compartment syndromes", Rheumatology (Sixth Edition), Philadelphia: Content Repository Only!, pp. 671–682, ISBN 978-0-323-09138-1, retrieved 2020-10-29
  2. ^ a b Lim, Aymeric Y. T.; Sebastin, Sandeep J. (2012-01-01), Chung, Kevin C.; Yang, Lynda J. -S.; McGillicuddy, John E. (eds.), "CHAPTER 14 - Clinical examination and diagnosis", Practical Management of Pediatric and Adult Brachial Plexus Palsies, Philadelphia: W.B. Saunders, pp. 173–197, doi:10.1016/b978-1-4377-0575-1.00014-9, ISBN 978-1-4377-0575-1, retrieved 2020-10-29
  3. ^ a b 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. ^ a b Tinel, J. (1915) Le signe du fourmillement dans les lésions des nerfs périphériques. Presse médicale, 47, 388–389
  5. ^ a b Tinel, J., Nerve wounds. London: Baillère, Tindall and Cox, 1917
  6. ^ Waldman, Steven D.; Campbell, Robert S. D., eds. (2011-01-01), "CHAPTER 114 - Cubital Tunnel Syndrome", Imaging of Pain, Philadelphia: W.B. Saunders: 289–290, doi:10.1016/b978-1-4377-0906-3.00114-0, ISBN 978-1-4377-0906-3, retrieved 2020-10-29
  7. ^ Waldman, Steven D.; Campbell, Robert S. D., eds. (2011-01-01), "CHAPTER 164 - Anterior Tarsal Tunnel Syndrome", Imaging of Pain, Philadelphia: W.B. Saunders: 421–423, doi:10.1016/b978-1-4377-0906-3.00164-4, ISBN 978-1-4377-0906-3, retrieved 2020-10-29
  8. ^ Stephen, David J. G.; Choy, Gregory W.; Fam, Adel G. (2010-01-01), Lawry, George V.; Kreder, Hans J.; Hawker, Gillian A.; Jerome, Dana (eds.), "The Ankle and Foot", Fam's Musculoskeletal Examination and Joint Injection Techniques (Second Edition), Philadelphia: Mosby, pp. 89–101, doi:10.1016/b978-0-323-06504-7.10007-7, ISBN 978-0-323-06504-7, retrieved 2020-10-29
  9. ^ Wolvetang, Nicolaas H. A.; Lans, Jonathan; Verhiel, Svenna H. W. L.; Notermans, Bo J. W.; Chen, Neal C.; Eberlin, Kyle R. (June 2019). "Surgery for Symptomatic Neuroma: Anatomic Distribution and Predictors of Secondary Surgery". Plastic and Reconstructive Surgery. 143 (6): 1762–1771. doi:10.1097/PRS.0000000000005664. ISSN 0032-1052. PMID 30907815.
  10. ^ Wartenberg, Robert (June 1951). "Babinski Reflex and Marie-foix Flexor Withdrawal Reflex: Historical Notes". AMA Archives of Neurology & Psychiatry. 55 (6): 713–716. doi:10.1001/archneurpsyc.1951.02320060056006. PMID 14829100. Retrieved January 24, 2021. The very same phenomenon, however, had been described by Paul Hoffmann in a German medical periodical in the issue of March 28 of the same year. The Germans, therefore, speak of the Hoffmann-Tinel sign.
  11. ^ a b Sansone, Jason M.; Gatzke, Angela M.; Aslinia, Florence; Rolak, Loren A.; Yale, Steven H. (March 2006). "Jules Tinel (1879-1952) and Paul Hoffmann (1884-1962)". Clinical Medicine & Research. 4 (1): 85–89. doi:10.3121/cmr.4.1.85. PMC 1435662. PMID 16718952. Dr. Paul Hoffmann described the sign in March of 1915 in On a Method of Evaluating the Success of a Nerve Suture. Several months later in October 1915, Dr. Jules Tinel published his work on the sign in The Sign of Tingling in Lesions of Peripheral Nerves.

External links