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The Goosebump Sign.

Feiran Wu¹, Chye Yew Ng¹

¹Upper Limb Unit, Wrightington Hospital, Wigan, United Kingdom.

Journal of Hand and Microsurgery

|March 27, 2019

Summary

This summary is machine-generated.

Shoulder trauma can cause nerve injuries that are often missed. The "goosebump sign" is a new objective finding indicating sympathetic dysfunction in peripheral nerve palsy, aiding diagnosis.

Keywords:

autonomic dysfunction clinical sign nerve palsy peripheral nerve injury sympathetic dysfunction

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Area of Science:

Orthopedic Surgery
Neurology
Clinical Diagnostics

Background:

Nerve injuries can occur after shoulder trauma.
Joint or bony damage may overshadow nerve injury signs.
Standard assessment of muscle power and sensibility may miss nerve injuries.

Purpose of the Study:

To describe a novel objective clinical finding for sympathetic dysfunction in peripheral nerve palsy.
To introduce the "goosebump sign" as a complementary diagnostic tool.
To highlight the importance of recognizing subtle signs of nerve injury in shoulder trauma.

Main Methods:

Observation and description of a novel clinical sign.
Correlation of the sign with sympathetic dysfunction in peripheral nerve palsy.
Evaluation as a complementary sign to standard neurological assessments.

Main Results:

The "goosebump sign" is identified as an objective clinical finding.
This sign indicates sympathetic dysfunction.
It serves as a useful addition to standard assessments for nerve injury.

Conclusions:

The "goosebump sign" is a valuable new sign for diagnosing peripheral nerve palsy.
It aids in identifying sympathetic dysfunction, often overlooked in shoulder trauma.
Clinicians should consider this sign in the comprehensive assessment of nerve injuries.