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June 23, 1969, Vol 208, No. 12 >
ARTICLE | June 23, 1969

Tinel's Percussion Test For Nerve Involvement

E. H. Rentschler, MD
JAMA. 1969;208(12):2337. doi:10.1001/jama.1969.03160120061019.
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ABSTRACT

To the Editor:—  Regarding "Tinel's Percussion Test for Intraspinal Sensory Nerve Root Involvement" (208: 152, 1969), the example mentioned by Dr. Scott was that of pain and other sensory symptoms radiating into the thumb and index finger. He does not mention where he elicited the Tinel's sign. If this is done by tapping over the flexor aspect of the wrist, he may be eliciting the paresthesia by tapping over a median nerve involved by compression at the level of the carpal canal. Contrary to the original ideas of the necessity of having sensory involvement of the entire median nerve from a carpal tunnel syndrome, it is not unusual to have involvement of only one or two fingers so far as the sensory symptoms are concerned. It also is not unusual, in my experience, to have symptoms which ten years ago I would have felt was typical of nerve root involvement

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