Special Tests - Elbow and Wrist Flashcards
What is the Cozen’s Test testing for?
What indicates a positive test?
Describe the test
- Lateral Epicondylitis
- Positive test is indicated by pain in the lateral epicondyle region or muscle weakness
What is the Maudsley’s Test testing for?
What indicates a positive test?
Describe the test
- Lateral Epicondylitis
- Positive test is indicated by pain in the lateral epicondyle region or muscle weakness
What is the Medial Epicondylitis Test testing for?
What indicates a positive test?
Describe the test
- Medial Epicondylitis
- Positive test is indicated by pain in the medial epicondyle region or muscle weakness
What is the Mill’s Test testing for?
What indicates a positive test?
Describe the test
- Lateral Epicondylitis
- Positive test is indicated by pain in the lateral epicondyle region or muscle weakness
What is the Elbow Flexion Test testing for?
What indicates a positive test?
Describe the test
- Cubital Tunnel Syndrome
- Positive test is indicated by tingling or paresthesia in the ulnar nerve distribution of the forearm and hand
What is the Pinch Grip Test testing for?
What indicates a positive test?
Describe the test
- Pathology of the anterior interosseous nerve
- The patient is asked to pinch the tips of the index finger and thumb together. If the patient cannot pinch tip-to-tip and instead presses the pads of the fingers together, the test is positive for pathology of the anterior interosseous nerve
What is the Tinel’s Sign testing for? (Elbow)
What indicates a positive test?
Describe the test
- Ulnar Nerve Compression
- Positive test is indicated by a tingling sensation in the ulnar nerve distribution of the forearm, hand and fingers.
What is the Tinel’s Sign testing for? (Wrist)
What indicates a positive test?
Describe the test
- Carpal Tunnel Syndrome
- Positive test is indicated by a tingling sensation in the thumb, index finger, middle finger, and lateral half of the ring finger distal to the contact site at the wrist.
What is the Ulnar Collateral Ligament Instability Test testing for? (Hand)
What indicates a positive test?
Describe the test
- Tear of the UCL at the thumb
- Positive test is indicated by excessive valgus movement at the thumb
What is the Bunnel-Littler Test testing for?
What indicates a positive test?
Describe the test
- Tight intrinsic musculature or capsular tightness (digits)
- Positive test is indicated if the proximal IP joint does not flex with the MCP joint extended
What is the Tight Retinacular ligament testing for?
What indicates a positive test?
Describe the test
- The retinacular ligaments or capsule may be tight
- Positive test is indicated if the PT is unable to flex the distal IP joint.
What is the Carpal Compression Test testing for?
What indicates a positive test?
Describe the test
- Carpal Tunnel Syndrome
- Positive test is indicated by pain or paresthesia in the median nerve distribution
What is the Froment’s Sign testing for?
What indicates a positive test?
Describe the test
- Ulnar Nerve Compression or paralysis
- Positive test is indicated by the patient flexing the distal phalanx of the thumb due to adductor pollicis muscle paralysis.
What is the Phalen’s Test testing for?
What indicates a positive test?
Describe the test
- Carpal Tunnel Syndrome
- Positive test is indicated by tingling in the thumb, index finger, middle finger, and lateral half of the ring finger.
What is the Finkelstein Test testing for?
What indicates a positive test?
Describe the test
- Tenosynovitis in the Thumb (De Quervain’s Disease)
- Positive test is indicated by pain over the abductor pollicis longus and extensor pollicis brevis tendons at the wrist
What is the Grind Test testing for?
What indicates a positive test?
Describe the test
- Degenerative joint disease in the CMC joint
- Positive test is indicated by pain
What is the Murphy Sign testing for?
What indicates a positive test?
Describe the test
- Dislocated lunate
- Positive test is indicated by the patients 3rd MC remaining level with the 2nd and 4th MCs.
