Comparison of the finger wrinkling test results to established sensory tests in peripheral nerve injury. 1977

P E Phelps, and E Walker

The phenomenon that denervated skin does not wrinkle or shrivel like normal palmar skin after soaking in water was investigated. Forty-one patients with complete or partial peripheral nerve lacerations or traumatic nerve compressions were given a battery of tests to evaluate sensory and motor function. The results from patients' wrinkle tests were compared with the findings from their two-point discrimination and ninhydrin sweat tests. Twenty four patients with recent complete peripheral nerve injuries demonstrated an absence of finger wrinkling, two-point discrimination, and sweating over the cutaneous distribution of the damaged nerve. Nine patients with partial nerve lacerations demonstrated varied results depending upon the amount and location of the nerve injury. Eight patients with nerve compressions continued to wrinkle and sweat even when two-point discrimination was decreased or absent. These findings indicate that only in patients with a recent complete peripheral nerve lesion does an absence of wrinkling always correspond with a loss of other sensory modalities. The presence of wrinkling in a patient with a nerve compression does not correlate with the patient's sensory modalities.

UI MeSH Term Description Entries
D008297 Male Males
D009555 Ninhydrin 2,2-Dihydroxy-1H-indene-1,3-(2H)-dione. Reagent toxic to skin and mucus membranes. It is used in chemical assay for peptide bonds, i.e., protein determinations and has radiosensitizing properties. Indantrione Monohydrate,Monohydrate, Indantrione
D005260 Female Females
D005385 Fingers Four or five slender jointed digits in humans and primates, attached to each HAND. Finger
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012677 Sensation The process in which specialized SENSORY RECEPTOR CELLS transduce peripheral stimuli (physical or chemical) into NERVE IMPULSES which are then transmitted to the various sensory centers in the CENTRAL NERVOUS SYSTEM. Sensory Function,Organoleptic,Function, Sensory,Functions, Sensory,Sensations,Sensory Functions
D012877 Skin Manifestations Dermatologic disorders attendant upon non-dermatologic disease or injury. Manifestation, Skin,Manifestations, Skin,Skin Manifestation
D013546 Sweating The process of exocrine secretion of the SWEAT GLANDS, including the aqueous sweat from the ECCRINE GLANDS and the complex viscous fluids of the APOCRINE GLANDS.

Related Publications

P E Phelps, and E Walker
February 1975, British medical journal,
P E Phelps, and E Walker
August 2010, Clinical autonomic research : official journal of the Clinical Autonomic Research Society,
P E Phelps, and E Walker
February 1977, British medical journal,
P E Phelps, and E Walker
December 2015, Neurology international,
P E Phelps, and E Walker
January 1990, Fortschritte der Kiefer- und Gesichts-Chirurgie,
P E Phelps, and E Walker
November 2023, The Journal of hand surgery, European volume,
Copied contents to your clipboard!