Clinical Signs in Carpal Tunnel Syndrome

Description

There are many signs and symptoms used in the evaluation of Carpal Tunnel Syndrome. Some finding may findings modestly increase or decrease the probability of carpal tunnel syndrome

Clinical Signs

Hoffmann-Tinel sign (1915)

Phalen sign (1950)

Katz Hand diagram (1990)

Pressure Provocation test

Square Wrist Ratio (https://pubmed.ncbi.nlm.nih.gov/8198771/)

Flick sign

Associated Persons

• Paul Hoffmann (1884 – 1962)
• Jules Tinel (1879 – 1952)
• George S. Phalen (1911 – 1998)
• John A Durkan
• Jeffrey N Katz

Alternative names

• Name
• Name

Controversies

Did they first describe or popularise or plagiarise?

References

• Hoffmann P. Über eine Methode, den Erfolg einer Nervennaht zu beurteilen. [Using a method to assess the success of a nerve attack] Medizinische Klinik, 1915; 11: 359-360
• Hoffmann P. Weiteres über das Verhalten frisch regenerierter Nerven und über eine Methode, den Erfolg einer Nervennaht frühzeitig zu beurteilen. Medizinische Klinik. 1915; 11: 856-858.
• Tinel J. Le signe du ‘fourmillement’ dans les lésions des nerfs périphériques. [The sign of “tingling” in the lesions of the peripheral nerves] La Presse Médicale. 1915; 47: 388–389. [Tinel sign] [English translation: Kaplan EB The “tingling” sign in peripheral nerve lesions. In: Spinner M, ed. Injuries to the Major Branches of Peripheral Nerves in the Forearm. Philadelphia: Saunders; 1972:8-13.[PDF]]
• McGee S. Evidence-Based Physical Diagnosis. 4e. 2017: 1196