ティネル徴候
WordNet
- place signs, as along a road; "sign an intersection"; "This road has been signed"
- (medicine) any objective evidence of the presence of a disorder or disease; "there were no signs of asphyxiation"
- a perceptible indication of something not immediately apparent (as a visible clue that something has happened); "he showed signs of strain"; "they welcomed the signs of spring" (同)mark
- a character indicating a relation between quantities; "dont forget the minus sign"
- a fundamental linguistic unit linking a signifier to that which is signified; "The bond between the signifier and the signified is arbitrary"--de Saussure
- a gesture that is part of a sign language
- a public display of a message; "he posted signs in all the shop windows"
- engage by written agreement; "They signed two new pitchers for the next season" (同)contract, sign on, sign_up
- approve and express assent, responsibility, or obligation; "All parties ratified the peace treaty"; "Have you signed your contract yet?" (同)ratify
- communicate silently and non-verbally by signals or signs; "He signed his disapproval with a dismissive hand gesture"; "The diner signaled the waiters to bring the menu" (同)signal, signalize, signalise
- mark with ones signature; write ones name (on); "She signed the letter and sent it off"; "Please sign here" (同)subscribe
- be engaged by a written agreement; "He signed to play the casino on Dec. 18"; "The soprano signed to sing the new opera"
- communicate in sign language; "I dont know how to sign, so I could not communicate with my deaf cousin"
- having a handwritten signature; "a signed letter"
PrepTutorEJDIC
- (ある事実・状態・感情などの)『表れ』,印,気配,徴侯(indication);(…の)こん跡,計跡《+『of』+『名』》・『身ぶり』,手まね,合図 / 『標識』,看板 / (数学・音楽などの)記号 / (…の)『象徴』,シンボル(symbol)《+『of』+『名』》・《文》(…の)『前兆』,きざし《+『of』+『名』》・宮(きゅう)(黄道12区分の一つ) ・〈手紙・書類・作品など〉‘に'『署名する』・(…に)〈名前など〉‘を'書く《+『名』+『on』(『to』)+『名』》 / …‘を'雇う契約に署名する・…‘を'合図する,知らせる;…に合図する・署名する・契約書に署名して雇われる
- =ti
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/10/31 21:41:24」(JST)
[Wiki en表示]
| Tinel sign |
| Classification and external resources |
Transverse section across the wrist and digits. (The median nerve is the yellow dot near the center. The carpal tunnel is not labeled, but the circular structure surrounding the median nerve is visible.)
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| ICD-10 |
G56.0 |
| ICD-9 |
354.0 |
| OMIM |
115430 |
| DiseasesDB |
2156 |
| MedlinePlus |
000433 |
| eMedicine |
orthoped/455 pmr/21 emerg/83 radio/135 |
| MeSH |
D002349 |
Tinel's 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. It takes its name from French neurologist Jules Tinel (1879-1952).[1][2][3]
For example, in carpal tunnel syndrome where the median nerve is compressed at the wrist, Tinel's sign is often "positive" causing tingling in the thumb, index, middle finger and the radial half of the fourth digit. Tinel's sign is sometimes referred to as "distal tingling on percussion" or DTP. This distal sign of regeneration can be expected during different stage of somatosensory recovery.[4]
See also[edit]
- Hoffmann's sign
- Phalen maneuver
References[edit]
- ^ Tinel, J., Nerve wounds. London: Baillère, Tindall and Cox, 1917
- ^ Tinel, J. (1915) Le signe du fourmillement dans les lésions des nerfs périphériques. Presse médicale, 47, 388-389
- ^ 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
- ^ Spicher, C.; Kohut, G.; Miauton, J. (1999). "At which stage of sensory recovery can a tingling sign be expected? A review and proposal for standardization and grading". Journal of hand therapy : official journal of the American Society of Hand Therapists 12 (4): 298–308. doi:10.1016/S0894-1130(99)80068-4. PMID 10622196. edit
External links[edit]
- synd/3740 at Who Named It?
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Eponymous medical signs – nervous system
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| CNS |
| Head, general |
- Battle's sign
- Broca aphasia
- Kernig's sign
- Macewen's sign
- Myerson's sign
- Stroop test
- Wada test
- Dix-Hallpike test
- Hirano body
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| Multiple sclerosis |
- Dawson's fingers
- Lhermitte's sign
- Charcot's neurologic triad
- Uhthoff's phenomenon
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| Other |
- Romberg's test
- increased intracranial pressure
- Miller Fisher test
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| PNS |
Reflexes of extremities/
corticospinal tract |
| Combination |
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| Lower limb |
- Babinski sign
- Chaddock reflex
- Oppenheim's sign
- Westphal's sign
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| Upper limb |
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| Other torso/limbs |
| Upper limb |
- Froment's sign
- carpal tunnel syndrome
- Tinel sign
- Phalen maneuver
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| Lower limb |
- Abadie's sign of tabes dorsalis
- Gowers' sign
- Hoover's sign
- Lasègue's sign
- Trendelenburg's sign
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| Torso |
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| General |
- Todd's paresis
- Jolly's test
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| Mental/behavioral |
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anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
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noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
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proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
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anat (h/r/t/c/b/l/s/a)/phys (r)/devp/prot/nttr/nttm/ntrp
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noco/auto/cong/tumr, sysi/epon, injr
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dsrd (o, p, m, p, a, d, s), sysi/epon, spvo
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proc (eval/thrp), drug (N5A/5B/5C/6A/6B/6D)
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Medical examination and history taking
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| Medical history |
- Chief complaint
- History of the present illness
- Systems review
- Allergies
- Past medical history
- Family history
- Social history
- Psychiatric history
- Progress notes
- Mnemonics
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| Physical examination |
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General/IPPA
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- Inspection
- Auscultation
- Palpation
- Percussion
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Vital signs
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- Temperature
- Heart rate
- Blood pressure
- Respiratory rate
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HEENT
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Oral mucosa · TM · Eyes (Ophthalmoscopy, Swinging-flashlight test) · Hearing (Weber, Rinne)
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Respiratory
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- Respiratory signs and symptoms
- Respiratory sounds
- Cyanosis
- Clubbing
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Cardiovascular
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- Precordial examination
- Peripheral vascular examination
- Cardiovascular signs and symptoms
- Other
- Jugular venous pressure
- Abdominojugular test
- Carotid bruit
- Ankle brachial pressure index
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Abdominal
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Digestive
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Liver span · Rectal · Murphy's sign · Bowel sounds
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Urinary
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Murphy's punch sign
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Extremities/Joint
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Back (Straight leg raise) · Knee (McMurray test) · Hip · Wrist (Tinel sign, Phalen maneuver) · Shoulder (Adson's sign) · GALS screen
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Neurological
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- Mental state
- Mini–mental state examination
- Cranial nerve examination
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Neonatal
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- Apgar score
- Ballard Maturational Assessment
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Gynecological
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- Intimate examination
- Well-woman examination
- Vaginal examination
- Breast examination
- Cervical motion tenderness
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| L/I |
Labs (Electrolytes, ABG, LFT) · Medical imaging (EKG, CXR, CT, MRI)
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| A/P |
Medical diagnosis · Differential diagnosis
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UpToDate Contents
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English Journal
- Tolerance and effects of FK506 (tacrolimus) on nerve regeneration: a pilot study.
- Phan DQ, Schuind F.SourceService d'Orthopédie-Traumatologie, Cliniques Universitaires de Bruxelles, Hôpital Erasme, Brussels, Belgium.
- The Journal of hand surgery, European volume.J Hand Surg Eur Vol.2012 Jul;37(6):537-43. doi: 10.1177/1753193411427826. Epub 2011 Nov 14.
- In adults, the outcome of nerve suture and nerve autograft remains generally unsatisfactory. FK506 (tacrolimus), an immunosuppressant drug used in transplantation, has been reported in animal studies to enhance nerve regeneration. In hand transplantation patients, nerve regeneration was unexpectedly
- PMID 22084488
- A positive Tinel sign as predictor of pain relief or sensory recovery after decompression of chronic tibial nerve compression in patients with diabetic neuropathy.
- Dellon AL, Muse VL, Scott ND, Akre T, Anderson SR, Barret SL, Biddinger KR, Bregman PJ, Bullard BP, Dauphinee DM, DeJesus JM, DeJesus RA, Ducic I, Dunkerly J, Galina MR, Hung V, Ichtertz DR, Kutka MF, Jacoby RP, Johnson JB, Mader DW, Maloney CT Jr, Mancuso PJ, Martin RC, Martin RF, McDowel BA, Rizzo VJ, Rose M, Rosson GD, Shafiroff BB, Steck JK, Stolarski RG, Swier P, Wellens-Bruschayt TA, Wilke B, Williams EH, Wood MA, Wood WA, Younes MP, Yuksel F.SourceDepartment of Plastic Surgery, Johns Hopkins University, Baltimore, Maryland, USA. ALDellon@Dellon.com
- Journal of reconstructive microsurgery.J Reconstr Microsurg.2012 May;28(4):235-40. doi: 10.1055/s-0032-1306371. Epub 2012 Mar 12.
- Predictive ability of a positive Tinel sign over the tibial nerve in the tarsal was evaluated as a prognostic sign in determining sensory outcomes after distal tibial neurolysis in diabetics with chronic nerve compression at this location. Outcomes were evaluated with a visual analog score (VAS) for
- PMID 22411625
Japanese Journal
- 北條 達也,ホウジョウ タツヤ,Hojo Tatsuya
- 同志社スポーツ健康科学 (5), 39-43, 2013-06-01
- … 左肘関節の肘部管部にはTinel like signを認めず、発症と尺骨神経伝導速度低下の原因が明確でないため、実際に射撃練習場におけるパフォーマンスを確認し、膝射において上腕背側と膝蓋部の間で尺骨神経が長時間圧迫され続ける練習を繰り返していたことが原因であると推定した。 …
- NAID 120005317403
- A CASE OF GUYON'S CANAL SYNDROME CAUSED BY A HEMATOMA ON THE ULNAR NERVE:—A case report—
- 小原 賢司,牧内 大輔,三原 研一,鈴木 一秀,西中 直也,上原 大志,筒井 廣明
- 昭和医学会雑誌 72(1), 138-143, 2012
- … Tinel's sign was positive on the proximal end of the Guyon's canal. … Froment's sign was positive. …
- NAID 130002582886
- 特徴的な Tinel 徴候で術前診断がついた腋窩神経鞘腫の1例
- 今村 清隆,成田 吉明,嶋口 万友,井上 玲,加藤 弘明,松波 己
- 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 72(7), 1721-1724, 2011-07-25
- NAID 10029613183
Related Links
- Tinel's 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. It takes its name from French neurologist Jules Tinel ...
- 2010年12月22日 ... Tinel徴候（Tinel's sign：チネル徴候：ティネル徴候）:理学療法評価 医療・看護・作業・ 理学療法楽研究所―Physical Therapy―. 医療・コメディカル(作業・理学療法士・看護 師)・介護・リハビリなどについての情報{病気・治療（関節・筋）・評価・ ...
★リンクテーブル★
[★]
- 英
- Tinel's sign, Tinel sign
- 同
- チネル徴候、Tinel徴候、ホフマン-ティネル徴候 Hoffmann-Tinel sign
- 関
- ティネル様徴候
[show details]
- 神経障害部位の近位を叩打するとその末梢部位に電撃感を感じるもの
- 30秒以降。手根管症候群を疑う場合にはここをたたく
<youtube>http://www.youtube.com/watch?v=VtrC9dnVrrQ</youtube>
[★]
- 関
- indication、manifestation、signature、stigma、stigmata、symptom、symptomatic