Template:Short description Template:Infobox medical condition (new) 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.<ref>Template:Citation</ref><ref name=":0">Template:Citation</ref> Percussion is usually performed moving distal to proximal.<ref name=":0" /> It is named after Jules Tinel.<ref name=":1">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</ref><ref name=":2">Tinel, J. (1915) Le signe du fourmillement dans les lésions des nerfs périphériques. Presse médicale, 47, 388–389</ref><ref name=":3">Tinel, J., Nerve wounds. London: Baillère, Tindall and Cox, 1917</ref>

It is a potential sign of carpal tunnel syndrome, cubital tunnel syndrome,<ref>Template:Citation</ref> anterior tarsal tunnel syndrome<ref>Template:Citation</ref><ref>Template:Citation</ref> and symptomatic neuroma.<ref>Template:Cite journal</ref>

HistoryEdit

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.<ref name=":1" /><ref name=":2" /><ref name=":3" /> German neurologist Paul Hoffmann independently also published an article on tinel sign six months earlier, in March 1915.<ref name=wartenberg>Template:Cite journal</ref><ref name=sansone>Template:Cite journal</ref> 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."<ref name=sansone/>

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