RT Journal Article
SR Electronic
T1 Case of the month: The skin wrinkle test: a simple nerve injury test for paediatric and uncooperative patients
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 883
OP 886
DO 10.1136/emj.2005.031377
VO 23
IS 11
A1 A Tindall
A1 R Dawood
A1 B Povlsen
YR 2006
UL http://emj.bmj.com/content/23/11/883.abstract
AB Assessment 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.