title: Case of the month: The skin wrinkle test: a simple nerve injury test for paediatric and uncooperative patients.
abstract: 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.
authors.affiliation: Guy's Hospital, London, UK. alistair_tindall@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Tindall
authors.forename: R
authors.initials: R
authors.lastname: Dawood
authors.forename: B
authors.initials: B
authors.lastname: Povlsen
mesh_terms: D000328:Adult; D001336:Automobiles; D003937:Diagnosis, Differential; D005383:Finger Injuries / Q000473:pathology*; D005385:Fingers / Q000473:pathology*; D006801:Humans; D008297:Male; D009784:Occupational Diseases / Q000473:pathology*; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000473:pathology; D015595:Skin Aging / Q000473:pathology