As noted above though specificity of Tinel's sign
is high, the sensitivity is not; hence, the author has attempted to increase the sensitivity also by adding tourniquet test and Tinel's with tourniquet test to the former to make a series of three tests in continuum.
25) Any patient with a palpable mass should be tested for Tinel's sign
over the mass and undergo a thorough vascular assessment.
70), and a positive Tinel's sign
over the right median nerve at the wrist.
These tumors are transversely mobile and longitudinally immobile, have a positive Tinel's sign
, and exertional dysathesias or pain.
Percussion of the posterior tibial nerve (Tinel's sign
) may cause parethesias along the course of the nerve, (3,8,9) with one study reporting that Tinel's sign
is positive in only 67% of cases.
Sensitivity of the scratch-collapse test in subjects with carpal tunnel syndrome was 75%, compared with 37% for Tinel's sign
and 47% for Phalen's test.
Using various methods for assessment, including two-point discrimination tests, monofilaments, vibratory stimuli, Tinel's sign
, ninhydrin, and electrodiagnostic tests, nerve recovery occurs in a predictable, orderly fashion.
In the posttraining screening examination, the following subjects had findings on the physical examination to suggest median or ulnar abnormalities: subject 7 had a positive Tinel's sign
over the median nerve at the wrist in both hands (median, pretraining finding); subject 8 had a positive Tinel's sign
over the left ulnar nerve at the elbow and wrist (ulnar, pretraining finding) and decreased sensation to light touch and pain in the palmar surface of left D5 (ulnar, new); subject 11 had a positive Tinel's sign
over the right median nerve at the wrist (median, new); and subject 12 had decreased sensation to the palmar aspect of the left D5 (ulnar, new).
1,13) Tinel's sign
(pain created by percussion over the area of the femoral nerve) will be positive over the inguinal ligament.
A positive Tinel's sign
over the cubital tunnel is an indication of ulnar neuritis.
Neurosensory testing with a pressure-specified sensory device had been used to document sensory abnormalities in these patients, and examination revealed a positive Tinel's sign
over the involved nerve, indicating nerve irritation.