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Tinel’s Sign
This is an excerpt from Special Tests in Orthopedics by Tamara C Valovich McLeod,Sandra J Shultz.
Other names for test: Hoffman-Tinel sign, nerve percussion test
Used to assess: Median, radial, and ulnar nerve pathology
Patient position: Sitting with elbow flexed
Clinician position: At patient’s side
Clinician’s stabilizing hand position: Supporting hand being tested
Clinician’s test hand position: Index or middle finger is used over carpal tunnel (median) (a) proximal to radial styloid process (radial) (b) or Guyon’s tunnel (ulnar) (c)
Action performed: Use index or middle finger to tap over nerve site
Positive result: Tingling or pain with tap on nerve
Accuracy: SN = .55 SP = .75 +LR = 3.61 −LR = .48
Arena-Arroyo et al. 2022
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