Tinel's sign was present in 28 (45.2%) patients and Phalen sign
in 26 (21.9%) patients.
The objective findings obtained during the neurological examinations of the patients with carpal tunnel syndrome include sensitivity in the direct compression on the carpal tunnel, positive Tinel's sign, positive Phalen sign
, objective sensation disorder, abductor pollicis brevis weakness, thenar atrophy, severe pain and pharesthesia resulting from the tourniquet application on systolic tension arterial, sensitivity to diapason with a 256 vibration per second in two-points discrimination test .
The Tinel and Phalen sign
must be assessed for carpal tunnel syndrome.
Entry criteria required each study participant to have two of the following five clinical findings present: positive results on the Phalen sign
, (9) positive results on Tinel sign, (10) pain the median nerve distribution, sleep disturbances results from hand symptoms, and numbness of paresthesias in the median nerve distribution.
Slightly to moderately useful tests for ruling in CTS include a decreased ability to perceive painful stimuli along the palmar aspect index finger when compared with the ipsilateral little finger (LR+=3.1), the Katz hand diagram with classic or probable patterns (LR+=2.4), weak thumb abduction (LR+=1.8), abnormal monofilament testing (LR+=1.5), and the Phalen sign
The case involved a 19-year-old woman who presented with swelling over the volar wrist and had positive Tinel and Phalen signs
. She received conservative treatment with etodolac, a nightly volar splint, cold compresses, and rest.