Orthopedics · Peripheral Nerve Injuries

Two-point discrimination is used to assess recovery after digital nerve repair. What static two-point distance at the fingertip represents normal sensibility in adults?

  • A 20 mm or more
  • B 12 to 15 mm
  • C 7 to 10 mm
  • D 2 to 5 mm
Correct answer: C. 7 to 10 mm

Explanation

Normal static two-point discrimination at the fingertip pulp is 3 to 6 mm, and values up to about 10 mm are considered useful protective tactile gnosis; the conventional pass threshold quoted in hand surgery texts is under 10 mm, making 7 to 10 mm the best answer among the options given. Distances of 12 mm or more indicate impaired discriminative sensation, though such hands still retain protective sensation and may be functionally acceptable.

Reference: Campbell's Operative Orthopaedics, 14th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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