MSK Special Tests That I Cannot Cemember

Question 1

Describe the Finklestein Test

Answer 1

For De quervain’s tenosynovitis - Passive thumb flexion with ulnar deviation

Question 2

Describe the Bunnel-Littler Test

Answer 2

The Bunnel-littler test is used to differentiate capsular vs intrinsic hand tightness. Lumbricles Flex at the MCP and extend straight at the PIP. So you flex the PIP when the MCP is both flexed and extended and examine the differences. If there Is more motion when the MCP is flexed, then it is intrinsic (lumbrical) tightness, vs if its tight lacking ROM in both positions, it is capsular tightness.

Question 3

Differentiate the 3 special tests for lateral epicondylitis and the one test for medial epicondylitis

Answer 3

Tennis Elbow
- Maudsley, resists 3rd metacarpal
- Cozens, make a fist, pronate, and radial deviate and do MMT in slight ext
- Mills test is simply flexing the wrist

Golfers elbow
-Supinate, and extend elbow, wrist to stretch flexors

Question 5

Describe the Eichoffs Test

Answer 5

For De quervain’s tenosynovitis - Thumb fixed inside of fist with ulnar deviation