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"The Elbow" Demo History
The history of the elbow is relatively short and classically consists of eight questions.
Nevertheless this history needs to be expanded in case of atypical answers. .

Paraesthesia

Pins and needles are pathognomic of involvement of the peripheral nervous system in that the sensation cannot be produced in any way other than compression or inflammation of nerve tissue.
Paraesthesiae are always felt in the cutaneous area supplied by the nerve tissue involved and distal to the site of the lesion.
It is therefore extremely important to perform a thorough neurological examination of the upper quadrant in patients complaining of paraesthesia in the arm.

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