Special tests - hand / wrist / elbow

Question 1

What is the Mill’s test?

Answer 1

• This test assesses for the presence of lateral epicondylitis by stretching the wrist extensor, which attaches to the lateral epicondyle via the common extensor tendon

Question 2

What is a positive Mill’s test?

Answer 2

• This test is positive if the pain is felt at the lateral epicondyle

Question 3

What is Cozens test?

Answer 3

• This test assesses for the presence of lateral epicondylitis by contracting the wrist extensors against resistance

Question 4

What is a positive cozens test?

Answer 4

• Pain at the LE is a positive sign

Question 5

What is EXTENSOR DIGITORUM COMMUNIS (EDC) RESISTANCE TESTING?

Answer 5

• This test activates the EDC and its tendon to test for lateral epicondylitis

Question 6

What is a positive extensor digitorum communis resistance testing?

Answer 6

• Pain / weakness at the LE with the resisted movement indicates the involvement of the EDC in lateral epicondylitis

Question 7

What is the medial epicondylitis test?

Answer 7

• This test assesses for pain at the common flexor attachment on the medial epicondyle

Question 8

What is a positive medial epicondylitis test?

Answer 8

• Pain at the medial epicondyle is a positive test

Question 9

What is the tinel’s sign?

Answer 9

• This test is used to assess for the possibility of ulnar nerve entrapment at the elbow.

Question 10

What is a positive tinels sign?

Answer 10

• Tingling or paresthesia is a positive sign
• Tapping can cause a shock to the little and ring finger but can happen when the nerve is not hypersensitive

Question 11

What is the carpal compression test?

Answer 11

• This test is used to asses for carpal tunnel syndrome

Question 12

What is a positive carpal compression test?

Answer 12

• A positive test is the reproduction of numbness and/or tingling into the thumb, index and middle fingers and/or the radial side of the ring finger
• This indicates compression of the medial nerve in carpal tunnel

Question 13

What is the phalens test?

Answer 13

• Used to assess for carpal tunnel syndrome

Question 14

What is a positive phalens test?

Answer 14

• A positive test is the reproduction of numbness and/or tingling into the thumb, index and middle fingers and/or the radial side of the ring finger
• This is indicated compression of the median nerve in the carpal tunnel

Question 15

What is the reverse phalens test?

Answer 15

• Used to assess for carpal tunnel syndrome

Question 16

What is a positive reverse phalens test?

Answer 16

• A positive test is the reproduction of numbness and/or tingling into the thumb, index and middle fingers and/or the radial side of the ring finger
• This is indicated for compression of the median nerve in carpal tunnel

Question 17

What is tinel’s sign?

Answer 17

• This test is sued to assess for carpal tunnel syndrome

Question 18

What is a positive tinels sign?

Answer 18

• A positive test is the reproduction of numbness and/or tingling into the thumb, index and middle fingers and/or radial side of the ring finger
• The sensation is felt distal to the area of tapping
• Tinel’s at the elbow, this can be positive in a healthy subject

Question 19

What is the manual muscle test EPL?

Answer 19

• This test assesses for the presence of DQT

Question 20

What is the manual muscle test EPB?

Answer 20

• This test assesses for the presence of DQT

Question 21

What is a manual muscle test APL?

Answer 21

• This test assesses for the presence of DQT.

Question 22

What is FINKELSTEIN TEST – DQT?

Answer 22

• This test assesses the presence of DQT

Question 23

What is a positive Finkelstein test?

Answer 23

• The positive test is pain in the ABL/EPB felt from LU7, LU9/LI