Phalen's Sign: Causes & Reasons

Possible Causes for Phalen's Sign

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]

[…] in Phalen sign( Table 4 ). [jamanetwork.com]

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]

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.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]

References:[3][2] Diagnostics Physical examination Bottle sign In the case of carpal tunnel syndrome, the following signs are also present: Tinel's sign Phalen's sign Diagnostic [amboss.com]

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]

A Phalen sign (onset of numbness in the distribution of the median nerve in the hand with wrist flexion) is absent. [hartfordsportsorthopedics.com]

Mild Mononeuropathy of the Median Nerve

References: [3] [2] Diagnostics Physical examination Bottle sign In the case of carpal tunnel syndrome, the following signs are also present: Tinel's sign Phalen's sign In [amboss.com]

A wide range of sensitivities and specificities for the Tinel’s sign and Phalen’s maneuver have been reported in the literature. [clinicalgate.com]

Tinel's sign was not present in the wrist ; however, Phalen's test was positive in the right hand. [jstage.jst.go.jp]

Bursal Disorder

Fig. 9 Tinel’s sign Fig. 10 Phalen’s sign Ancillary Studies a) Nerve conduction studies (NCV) can demonstrate a delay in sensory latency of the median nerve at the level of [arthritis.arizona.edu]

Phalen's sign- Prolonged hyperflexion (up to 60 seconds) of the hands results in compression of the median nerve and similar complaints. [arthritis.arizona.edu]

[…] stiffness b) Tingling or burning in the distribution of the median nerve c) Sensory loss in median nerve distribution d) Loss of fine motor function e) Special tests: Tinel's sign [arthritis.arizona.edu]

Cardio-Spondylo-Carpo-Facial Syndrome

Phalen's sign involves holding both wrists in extreme volar flexion for 30-60 seconds. [mitchmedical.us]

Hand Wrist Massage Therapy Hand Therapy Occupational Therapy Physical Therapy The Hand Hold Hands Chiropractic Wellness Carpal Tunnel Relief Forward Phalen's Sign: Phalen's [pinterest.de]

Provocative tests include Tinel's sign and Phalen's sign (Fig. 7.2). Tinel's sign involves tapping over the transverse carpal ligament with the wrist held in extension. [mitchmedical.us]

Peroneal Nerve Compression Neuropathy

Phalen's sign and changes in electrodiagnostic studies. [ispub.com]

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 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]

Entrapment Neuropathy

The most widely used provocative physical tests are Phalen’s sign, which involves flexion of the wrist to 90 degrees for 60 seconds, and Tinel’s sign, which involves tapping [touchneurology.com]

CLINICAL FEATURES: • SIGNS : Tinel's sign, thenar atrophy, sensory changes in the distribution of median nerve • Tinel’s sign: percussing the median nerve at the wrist. • [slideshare.net]

Phalen’s test: Patient places elbow on table, forearm vertical with wrist flexed. [slideshare.net]

Sclerodactyly

Phalen’s test, preacher sign / prayer sign, limited joint mobility) [Log Odds Ratio = +2.98] 5 – Pink patches on back of the hand / fingers (granuloma annulare lesions) [palmreadingperspectives.wordpress.com]

[…] loop on pinky [Log Odds Ratio = +3.16] 3 – Fingerprints: radial loop on ringfinger [Log Odds Ratio = +3.09] 4 – Neuropathy: loss of function: movement / sensation (Tinel’s sign [palmreadingperspectives.wordpress.com]

Geleophysic Dysplasia

Tinel’s and Phalen’s signs could not be evaluated because the patient could not cooperate. [healio.com]

Tinel’s and Phalen’s signs are negative in childhood but are important physical examination signs in adults. 6 Although the gold standard diagnostic test of carpal tunnel [healio.com]

However, signs like decreased sweating, thenar muscle atrophy, and manual clumsiness are more common. [healio.com]

Tuberculous Tenosynovitis

The confirmatory provocative tests include Tinel's sign, Phalen's sign, tourniquet test and tenderness over carpal tunnel. [jpma.org.pk]

The swelling in the wrist was renitent, firm, and sensitive, with no signs of inflammation. There were no satellite lymph’s nodes. [scirp.org]

In all the patients symptoms (pain, swelling, weakness in hand, paresthesias, association with sleep and fever) and signs (range of motion, Tinnel's sign, Phalen's sign (tingling [jpma.org.pk]

Basilar Skull Fracture

Chaddock reflex Oppenheim's sign Westphal's sign Upper limb Hoffmann's sign Other torso/limbs Upper limb Froment's sign carpal tunnel syndrome Tinel sign Phalen maneuver [en.wikipedia.org]

Lower limb Abadie's sign of tabes dorsalis Gowers' sign Hoover's sign Lasègue's sign Trendelenburg's sign Torso Beevor's sign General Todd's paresis Jolly's test v t e General [en.wikipedia.org]

[…] test increased intracranial pressure Cushing's triad Miller Fisher test PNS Reflexes of extremities/ corticospinal tract Combination Jendrassik maneuver Lower limb Babinski sign [en.wikipedia.org]

Moore-Federman Syndrome

Tinel’s and Phalen’s signs could not be evaluated because the patient could not cooperate. [healio.com]

Tinel’s and Phalen’s signs are negative in childhood but are important physical examination signs in adults. 6 Although the gold standard diagnostic test of carpal tunnel [healio.com]

However, signs like decreased sweating, thenar muscle atrophy, and manual clumsiness are more common. [healio.com]

Pfeiffer-Palm-Teller Syndrome

Phalen's manoeuvre info... Phalen's position info... Phalen's position info... Phalen's sign info... Phalen's test info... Phelps' operation info... [mt911.com]

Mungan Syndrome

Tinnel and Phalen signs were negative. [ijdvl.com]

Auricular Hematoma

Lower limb Abadie's sign of tabes dorsalis Gowers' sign Hoover's sign Lasègue's sign Trendelenburg's sign Torso Beevor's sign General Todd's paresis Jolly's test v t e General [en.wikipedia.org]

Osteophyte

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]

Geleophysic Dysplasia Type 2

Tinel’s and Phalen’s signs could not be evaluated because the patient could not cooperate. [healio.com]

Tinel’s and Phalen’s signs are negative in childhood but are important physical examination signs in adults. 6 Although the gold standard diagnostic test of carpal tunnel [healio.com]

However, signs like decreased sweating, thenar muscle atrophy, and manual clumsiness are more common. [healio.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]

Results of the Tinel sign and Phalen maneuver at the wrist should be negative in patients with pronator syndrome. 13 Radial Nerve at the Elbow: Radial Tunnel and Posterior [aafp.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]

Calcinosis Cutis

Tinel and Phalen's signs are positive. —R.O. Waiton, DO, Los Gatos, Calif. Small isolated calcium deposits are nonspecific and often secondary to local trauma. [clinicaladvisor.com]

The presence of positive Tinel and Phalen's signs suggests median nerve entrapment (carpal tunnel syndrome), which can be associated with systemic conditions, such as hypothyroidism [clinicaladvisor.com]

Neuromuscular Junction Disorder

Tinel’s sign and Phalen’s test can help make the diagnosis. [hqmeded.com]

Positive findings on Tinel's sign and Phalen's maneuver are suggestive for CTS. [ahcmedia.com]

Tinel's sign involves tapping over the volar surface of the wrist to see if it causes paresthesias in the digits in the median nerve distribution. 37 Phalen's maneuver consists [ahcmedia.com]

Phakomatosis Pigmentokeratotica

Carpel tunnel syndrome was also ruled out on account of a negative Tinnel sign, negative Phalen sign, and lack of evidence for median nerve compression. [idoj.in]

Crush Syndrome

Lo et al12 found that the hallmark physical examination findings of CTS (ie, Tinel sign, Phalen test) were more frequently positive in patients with CTS only (36.4% and 33.8% [journals.lww.com]

Tongue Amyloidosis

Carpal tunnel syndrome was present with positive Tinel's sign and Phalen's test. Routine hematological investigations revealed Hb: 9.7 gm%. [jdrntruhs.org]

Lumbar Spondylosis

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

 Objective signs of motor weakness, reflex change and sensory deficit only seen with Severe slips. 18. [slideshare.net]

[…] on nerve roots  Lumbosacral instability  Sway back posture  Waddling gait  Increased lumbar lordosis  Localised tenderness  Paraspinal muscle spam  Palpable step sign [slideshare.net]

Nephrogenic Syndrome of Inappropriate Antidiuresis

The principal clinical tests for carpal tunnel syndrome are Phalen's maneuver and Tinel's sign. [aafp.org]

While Tinel's sign and a positive Phalen's maneuver are classic clinical signs of the syndrome, hypalgesia and weak thumb abduction are more predictive of abnormal nerve conduction [aafp.org]

Phalen's maneuver is positive when flexing the wrist to 90 degrees for one minute elicits symptoms in the median nerve distribution. [aafp.org]

Cryoglobulinemic Vasculitis

Physical exam was significant for bilateral positive Phalen and Tinel's sign. CV occurs due to precipitation of immune complexes within the vessels. [cureus.com]

The examination was significant for bilateral positive Phalen and Tinel's sign, hyperesthesia with weakness on finger extension, and flexion of the lateral three digits. [cureus.com]

Breast Fibroadenolipoma

Phalen's test and Tinel's sign were positive. Motor and sensory nerve conduction velocity of the right median nerve were not evoked. [casereports.bmj.com]

She had no macrodactyly, no tenderness, and Tinel's sign and Phalen's test were both negative. Radiographs of the hand were unremarkable. [ncbi.nlm.nih.gov]

Polyglucosan Body Myopathy Type 2

Phalen and Tinel sign have specificity and sensitivity all ranging between 40 - 80%. [neuroweb.us]

[…] character or exacerbation; thenar atrophy and loss of two-point discrimination in the median nerve distribution occurs late in the course of the syndrome; two main physical signs [neuroweb.us]