Special Test of the Arm, Wrist and Hands

Question 1

What are all the Special test of the Arm, Wrist and hands?

Answer 1

Degree of duputren’s Contracture, Finkelstein’s, Fromont’s, Mills, Phalen’s, Radial ligamentous Stress test, Reverse Phalen’s, Extensor tendinitis, Flexor Tendinitis, Revers Mills.

Question 2

What does Degree of Duputren’s contracture assess for?

Answer 2

Used to record the Flexion contracture found in teh condition.

Question 3

What does “Finkelstein’s” assess for?

Answer 3

Used to determine the presence of “Dequervians Tendinitis”.

Question 4

How would you perform “Finkelstein’s”?

Answer 4

Client seated,
Client makes first with affected hand, with thumb held firmly inside fingers.
Ulnarly deviate the wrist.

Question 5

What is a positive result from “Finkelstein’s”?

Answer 5

Pain along the adductor tendons.

Question 6

What does “Fromont’s” assess for?

Answer 6

Assesses for a Ulnar nn lesion.

Question 7

How do you perform “Fromont’s”?

Answer 7

Instruct client to grasp a piece of paper between the thumb and index finger.

Question 8

What is a positive result for “Fromont’s”?

Answer 8

The test is positive if adductor pollicis weakness or paralysis will allow the terminal phalanx of the clients thumb to flex.

Question 9

What is a positive result of a “Mill’s” test?

Answer 9

Pain local to the common extensor tendon.

Question 10

What does “Mill’s” assess for?

Answer 10

Used to assess for Tendinitis of the common extensor tendon.

Question 11

How is “Mill’s” performed?

Answer 11

Client seated,

Passively flex the client’s wrist with elbow extended.

Question 12

What does “Reverse Mill’s” assess for?

Answer 12

Assesses for tendinitis of the common flexor tendon.

Question 13

How would you perform “Reverse Mill’s”?

Answer 13

Client Seated,

Passively extend the wrist with the elbow in extension.

Question 14

What is a positive result from “Reverse Mill’s”?

Answer 14

Pain is positive local to the common flexor tendon.

Question 15

What does “Phalen’s” assess for?

Answer 15

Used to assess for the presence of “Carpal Tunnel Syndrome”, or compression of the median nn.

Question 16

What is a positive result of “Phalen’s”?

Answer 16

Tingling or pain present in the thumb, index finger, middle and lateral half of the ring finger, Is positive

Question 17

How is “Phalen’s” performed?

Answer 17

Client seated,
instruct client to put the back of their hands together,
The elbows are held horizontally and the shoulders are not elevated.
Get client to strongly press the hands together for one minute.
This applies pressure on the carpal tunnel.

Question 18

What is a Radial LST used for?

Answer 18

Used to assess for Sprain of the Ulnar collateral ligament.

Or strain of the Wrist adductor Mms.

Question 19

How would you perform a Radial LST?

Answer 19

Client seated with affected hand in supination.
Stabilize proximal to the wrist with one hand,
with the other hand passively move the client’s affected hand into Radial deviation.
Applying overpressure at the end of the passive range .

Question 20

What is a positive result for a Radial LST, when looking for a Strain of the Wrist Adductor Mms?

Answer 20

If the client presents with pain local to the Flexor carpi ulnaris / Extensor carpi ulnaris or their tendons.

Question 21

What is a Positive result for Sprain of the Dorsal Radiocarpal Ligament,
When using the Radial LST?

Answer 21

If there is pain Hypermobility local to the Ulnar collateral ligament.

Question 22

How is Revers Phalen’s performed?

Answer 22

Instruct client to put palms of hands together,

and strongly compress palms together for one min.

Question 23

What is a positive result for Revers Phalen’s?

Answer 23

Tingling or pain indicates a positive result.

Tingling would occur in the Thumb, index, middle and lateral half of the ring finger.

Question 24

What does Extensor tendinitis test assess for?

Answer 24

Assess for tendinosis of the Extensor Mms in the wrist.

Question 25

How would you perform a Extensor tendinitis test?

Answer 25

Client seated with elbow extended and wrist pronated with slight ext,
Get client to hold this position,
instruct client to try and flex the wrist.

Question 26

What is a positive result for a Extensor tendinitis test?

Answer 26

Pain local to the Common ext tendon and weakness are positive signs for Tendinosis.

Question 27

What does Flexor Tendinitis test assess for?

Answer 27

Assess for tendinosis.

Question 28

How would you perform a Flexor Tendinitis test?

Answer 28

Client seated with elbow in ext and wrist in supination and slight flexion,
Get client to hold this position,
Attempt to extend the wrist.

Question 29

What is a positive result for a Flexor Tendinitis test?

Answer 29

If there is pain local to the common flexor tendon and weakness this indicates a positive test.

Question 30

What is Revers Mills test used to assess for?

Answer 30

Used to assess for tendinosis of the common flexor tendon.

Question 31

How would you perform a Revers Mills test?

Answer 31

Client seated,

Passively extend the client’s wrist.

Question 32

What is a positive result from a Revers Mills test?

Answer 32

Pain local to the common flexor tendon is a positive sign for tendinosis.