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Hand & Wrist Exam
 
Hand & Wrist Exam
 

Carpal Tunnel Syndrome

 
 
 
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Tinel’s Sign

  • Test For

  • Carpal tunnel syndrome (median nerve compression)
  • How to Perform

  • Percuss over the flexor retinaculum.
  • Abnormal If

  • Paraesthesia / reproduction of the patient’s symptoms.

Phalen’s Test

  • Test For

  • Carpal tunnel syndrome (median nerve compression)
  • How to Perform

  • Ask the patient to forcibly flex their wrists into a reverse prayer sign for 30-60 seconds.
  • Abnormal If

  • Symptoms are reproduced, such as burning, tingling or numbness.
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