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Wartenberg's sign

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Differentiation of the cause of Wartenberg's sign is based on associated clinical findings in the history and examination and sometimes involves investigations including radiographs and/or MRI of the cervical spine, elbow/wrist/hand and/or nerve conduction studies and EMG.
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Micev, Alan J.; Ivy, Andre D.; Aggarwal, Sandeep K.; Hsu, Wellington K.; Kalainov, David M. (2013-12-01). "Cervical radiculopathy and myelopathy: presentations in the hand".
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who worked in Germany until 1935 when he emigrated to the United States. He was widely published and described a number of neurological signs and clinical tests.
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disorders of the cerebral cortex such as mild hemiplegic stroke or hemiplegic migraine where the same clinical finding has been called the "digiti quinti sign"
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at the elbow where the nerve is exposed to tension, friction and compression). This muscle imbalance between the (intact)
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and the (weak) ulnar innervated interossei in the context of ulnar neuropathy is what Wartenberg described.
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Wilkinson, Iain and Lennox, Graham (June 2005). Essential Neurology (4th ed.). Wiley-Blackwell. p. 1184
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most commonly due to mechanical compression of the spinal cord in the neck as occurs in spondylotic
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Posner, M. A. (2000-01-01). "Compressive neuropathies of the ulnar nerve at the elbow and wrist".
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Goldman, Sarah B.; Brininger, Teresa L.; Schrader, John W.; Koceja, David M. (2009-09-01).
309: 72:). There may be different causes for this denervation and muscle imbalance including: 288: 402: 218: 193: 85: 42: 401:
Ono, K.; Ebara, S.; Fuji, T.; Yonenobu, K.; Fujiwara, K.; Yamashita, K. (1987-03-01).
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Alter, M. (1973-05-01). "The digiti quinti sign of mild hemiparesis".
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muscle to the little finger- caused by damage to their nerve supply (
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but also seen in other spinal cord disease including post-traumatic
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branch of the radial nerve which does not innervate hand muscles.
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of the fifth (little) finger, caused by unopposed action of the
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in cervical myelopathy is also called the "finger escape sign".
194:"Nerves of the Arm: Some of Their Affections; Their Diagnosis" 403:"Myelopathy hand. New clinical signs of cervical cord damage" 504:"A Note on the Digiti Quinti Sign in Hemiplegic Migraine" 289:"Ulnar Neuropathy: Background, Anatomy, Pathophysiology" 84:
somewhere along its course (most commonly around the
56:This commonly results from weakness of some of the 26: 21: 135:a feature of, and should not be confused with, 8: 32:Ulnar nerve neuropathy, Cervical myelopathy 561:Brain and Nerve = Shinkei KenkyΕ« No Shinpo 18: 519: 217: 164: 305: 294: 151:(1887-1956) was a neurologist born in 7: 559:Kuzuhara, Shigeki (2014-11-01). "". 446: 444: 187: 185: 609:Symptoms and signs: Nervous system 14: 521:10.1111/j.1468-2982.2008.01743.x 198:California and Western Medicine 110:. This finding of weak finger 419:10.1302/0301-620X.69B2.3818752 1: 502:Vincent, M. B. (2009-05-01). 325:Instructional Course Lectures 192:Wartenberg, R. (1943-07-01). 366:(12): 2478–2481, quiz 2481. 360:The Journal of Hand Surgery 625: 372:10.1016/j.jhsa.2013.07.020 45:consisting of involuntary 259:10.1016/j.jht.2008.10.010 407:Bone & Joint Journal 253:(3): 209–219, quiz 220. 104:cervical spinal stenosis 247:Journal of Hand Therapy 573:10.11477/mf.1416200032 304:Cite journal requires 94:extensor digiti quinti 82:ulnar nerve entrapment 78:ulnar nerve neuropathy 62:intrinsic hand muscles 51:extensor digiti minimi 28:Differential diagnosis 138:Wartenberg's syndrome 22:Wartenberg's sign 465:10.1212/wnl.23.5.503 100:Cervical myelopathy 66:palmar interosseous 64:-in particular the 118:Upper motor neuron 41:is a neurological 567:(11): 1301–1308. 177:978-1-4051-1867-5 149:Robert Wartenberg 129:Wartenberg's sign 39:Wartenberg's sign 36: 35: 16:Medical condition 616: 593: 592: 556: 550: 549: 523: 499: 493: 492: 448: 439: 438: 398: 392: 391: 355: 349: 348: 320: 314: 313: 307: 302: 300: 292: 285: 279: 278: 238: 232: 231: 221: 189: 180: 169: 19: 624: 623: 619: 618: 617: 615: 614: 613: 599: 598: 597: 596: 558: 557: 553: 501: 500: 496: 450: 449: 442: 400: 399: 395: 357: 356: 352: 322: 321: 317: 303: 293: 291:. 26 July 2022. 287: 286: 282: 240: 239: 235: 191: 190: 183: 170: 166: 161: 17: 12: 11: 5: 622: 620: 612: 611: 601: 600: 595: 594: 551: 514:(5): 580–582. 494: 459:(5): 503–505. 440: 413:(2): 215–219. 393: 350: 315: 306:|journal= 280: 233: 181: 163: 162: 160: 157: 122: 121: 115: 97: 86:cubital tunnel 34: 33: 30: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 621: 610: 607: 606: 604: 590: 586: 582: 578: 574: 570: 566: 562: 555: 552: 547: 543: 539: 535: 531: 527: 522: 517: 513: 509: 505: 498: 495: 490: 486: 482: 478: 474: 470: 466: 462: 458: 454: 447: 445: 441: 436: 432: 428: 424: 420: 416: 412: 408: 404: 397: 394: 389: 385: 381: 377: 373: 369: 365: 361: 354: 351: 346: 342: 338: 334: 330: 326: 319: 316: 311: 298: 290: 284: 281: 276: 272: 268: 264: 260: 256: 252: 248: 244: 237: 234: 229: 225: 220: 215: 211: 207: 203: 199: 195: 188: 186: 182: 178: 174: 168: 165: 158: 156: 154: 150: 146: 144: 140: 139: 134: 130: 126: 119: 116: 113: 109: 105: 101: 98: 95: 91: 87: 83: 80:usually from 79: 75: 74: 73: 71: 67: 63: 59: 54: 52: 48: 44: 40: 31: 29: 25: 20: 564: 560: 554: 511: 507: 497: 456: 452: 410: 406: 396: 363: 359: 353: 328: 324: 318: 297:cite journal 283: 250: 246: 236: 204:(1): 22–24. 201: 197: 167: 147: 142: 137: 132: 128: 127: 123: 90:radial nerve 55: 38: 37: 508:Cephalalgia 331:: 305–317. 108:tetraplegia 92:innervated 70:denervation 60:innervated 58:ulnar nerve 159:References 581:1881-6096 546:205585854 530:0333-1024 473:0028-3878 453:Neurology 427:2049-4394 380:1531-6564 337:0065-6895 267:0894-1130 210:0093-4038 112:adduction 47:abduction 603:Category 589:25407064 538:19025551 489:33161396 388:24054072 345:10829185 275:19188042 228:18746534 481:4735466 435:3818752 219:1780592 153:Belarus 143:sensory 587:  579:  544:  536:  528:  487:  479:  471:  433:  425:  386:  378:  343:  335:  273:  265:  226:  216:  208:  175:  542:S2CID 485:S2CID 585:PMID 577:ISSN 534:PMID 526:ISSN 477:PMID 469:ISSN 431:PMID 423:ISSN 411:69-B 384:PMID 376:ISSN 341:PMID 333:ISSN 310:help 271:PMID 263:ISSN 224:PMID 206:ISSN 173:ISBN 43:sign 569:doi 516:doi 461:doi 415:doi 368:doi 255:doi 214:PMC 133:not 131:is 76:An 605:: 583:. 575:. 565:66 563:. 540:. 532:. 524:. 512:29 510:. 506:. 483:. 475:. 467:. 457:23 455:. 443:^ 429:. 421:. 409:. 405:. 382:. 374:. 364:38 362:. 339:. 329:49 327:. 301:: 299:}} 295:{{ 269:. 261:. 251:22 249:. 245:. 222:. 212:. 202:59 200:. 196:. 184:^ 53:. 591:. 571:: 548:. 518:: 491:. 463:: 437:. 417:: 390:. 370:: 347:. 312:) 308:( 277:. 257:: 230:. 179:.

Index

Differential diagnosis
sign
abduction
extensor digiti minimi
ulnar nerve
intrinsic hand muscles
palmar interosseous
denervation
ulnar nerve neuropathy
ulnar nerve entrapment
cubital tunnel
radial nerve
extensor digiti quinti
Cervical myelopathy
cervical spinal stenosis
tetraplegia
adduction
Upper motor neuron
Wartenberg's syndrome
Robert Wartenberg
Belarus
ISBN
978-1-4051-1867-5


"Nerves of the Arm: Some of Their Affections; Their Diagnosis"
ISSN
0093-4038
PMC
1780592

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