• Emerg Med J · Nov 2006

    Case Reports

    Case of the month: The skin wrinkle test: a simple nerve injury test for paediatric and uncooperative patients.

    • A Tindall, R Dawood, and B Povlsen.
    • Guy's Hospital, London, UK. alistair_tindall@hotmail.com
    • Emerg Med J. 2006 Nov 1; 23 (11): 883-6.

    AbstractAssessment of the distal neurological status after injuries to the hand and fingers is one of the most frequent parts of standard trauma practice. Two-point discrimination as clinical examination is often sufficient to identify such lesions, but difficulties occur in the comatose, young or otherwise uncooperative patient. This article describes a simple pain-free alternative method of assessing digital nerve integrity by submerging the finger tip in water and observing if wrinkles develop on the skin.

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