The Tinel sign has no diagnostic value for nerve entrapment or neuropathy in the legs

Autor:	Mirjam, Datema, Elske, Hoitsma, Krista I, Roon, Martijn J A, Malessy, J Gert, Van Dijk, Martijn R, Tannemaat
Rok vydání:	2015
Předmět:	Adult Aged 80 and over Male Leg Nerve Compression Syndromes Neural Conduction Middle Aged Polyneuropathies Young Adult ROC Curve Humans Female Paresthesia Aged Retrospective Studies
Zdroj:	Musclenerve. 54(1)
ISSN:	1097-4598
Popis:	The presence of a Tinel sign in leg nerves has been proposed as a criterion for decompressive surgery in polyneuropathy. We investigated the diagnostic yield of the Tinel sign for nerve entrapment and for distal symmetrical peripheral neuropathy (DSPN).We prospectively tested for the Tinel sign at 3 sites of possible nerve entrapment per leg in 91 patients. Entrapment was defined using nerve conduction data. We also investigated whether the number of sites at which the Tinel sign was present identified patients with DSPN.Sensitivity of the Tinel sign for nerve entrapment was low (29%, 44%, and 17%) for the 3 sites, and specificity was moderate (86%, 75%, and 81%). In the subgroup with DSPN, sensitivity was extremely low (0%, 20%, and 8%), and specificity was moderate (91%, 79%, and 73%). The number of sites with a Tinel sign did not identify patients with DSPN.The Tinel sign does not reliably indicate nerve entrapment or DSPN. Muscle Nerve 54: 25-30, 2016.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::dfc22cbbc9c3b56faaebfe1d69f5e1ee https://pubmed.ncbi.nlm.nih.gov/26616836 Zobrazit plný text záznamu Plný text