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31 Possible Causes for Phalen's Sign

  • Carpal Tunnel Syndrome

    In Phalen's sign, symptoms are reproduced by maximum flexion of the wrist for 60 s. The classically described patients are middle-aged women.[ncbi.nlm.nih.gov] The patient presented with a 3-year history of CTS, consisting of progressive pain and paresthesias in his right hand, positive Tinel and Phalen signs, and an electrodiagnostic[ncbi.nlm.nih.gov] […] in Phalen sign( Table 4 ).[jamanetwork.com]

  • Multiple Myeloma

    , or a Phalen sign due to carpel tunnel compression secondary to amyloid deposition.[emedicine.medscape.com] , or positive Phalen sign Abdominal examination: Hepatosplenomegaly Cardiovascular evaluation: Cardiomegaly In patients with MM and amyloidosis, the characteristic examination[emedicine.medscape.com] Neurologic findings may include a sensory level change (ie, loss of sensation below a dermatome corresponding to a spinal cord compression), neuropathy, myopathy, a Tinel sign[emedicine.medscape.com]

  • Median Neuropathy

    The physical examination must include two tests - flexion of the wrist to 90 degrees for 1 minute, which could result in paresthesia (known as the Phalen's sign) and percussion[symptoma.com] Signs include a positive Tinel's sign at the wrist (tingling in median nerve distribution on percussion over ventral wrist), positive Phalen's sign (similar findings within[mitchmedical.us] […] over the point of entrapment, and absence of Phalen sign.[clinicalgate.com]

  • Tarsal Tunnel Syndrome

    Symptoms can also at times be reproduced by the examiner by bending the wrist downward (referred to as Phalen's maneuver).[medicinenet.com] Sometimes tapping the front of the wrist can reproduce tingling of the hand and is referred to as Tinel's sign of carpal tunnel syndrome.[medicinenet.com]

  • Entrapment Neuropathy

    Tinel sign for median nerve percussion at the wrist is positive in 61%, and Phalen’s test wrist flexion is only 46% positive, with a high false-positive rate.[care.diabetesjournals.org] Upper Extremity Detailed sensorimotor testing and provocative maneuvers such as Spurling's sign, [7] Tinel's sign, [8] , Median Nerve Compression test, [8] Phalen's test,[physio-pedia.com] Tinel’s sign may be elicited by lightly tapping over the median nerve at the wrist crease, which results in a tingling in the distribution of the median nerve if positive.[clinicalgate.com]

  • Spondylolisthesis

    PHALEN-DIXON SIGN  sciatic crisis typically seen in high grade adolescent spondylolisthesis  sign includes  sciatic pain  vertical sacrum and pelvis  lumbosacral kyphosis[slideshare.net]

  • Hashimoto Thyroiditis

    Positive Phalen’s test and positive Tinel’s sign. ROM: Cervical flexion limited to 10 degrees. Cervical extension 35 degrees. Left cervical rotation 26 degrees.[physio-pedia.com]

  • Triangular Fibrocartilage Complex Disorder

    Carpal tunnel syndrome, however, will have pain, tenderness, and positive Tinel’s, Phalen’s, and carpal compression signs at the carpal canal with motor loss of the thenar[radiologykey.com]

  • Ulnar Nerve Entrapment

    Signs of entrapment include Tinel sign, in which percussion around the site of the median nerve in the wrist produces paresthesias in the first 4 digits, and Phalen sign,[emedicine.medscape.com] They may also have a positive Tinel sign and Phalen maneuver.[doi.org] Tinel sign for median nerve percussion at the wrist is positive in 61%, and Phalen’s test wrist flexion is only 46% positive, with a high false-positive rate.[care.diabetesjournals.org]

  • Pronator Syndrome

    Testing for PTS can be done through an orthopedic exam that includes: Pronator Teres Test, Tinel’s sign, Phalen’s sign, Reverse Phalen’s sign.[augustpoint.wordpress.com] […] over the point of entrapment, and absence of Phalen sign.[clinicalgate.com] May be positive but only if symptoms have existed for more than 4 months 70% sensitivity 98% specificity 35 LR 0.31 LR- Phalen's test Should be negative if suspecting pronator[elbowdifferentialdiagnosis.weebly.com]

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