S.T Hand And Wrist Flashcards
Glide test of wrist
Stabilize distal radius/ ulna, grasp proximal carpal row
Glide in radial, ulnar, superior, and inferior directions
- pos. Pain or laxity
Indications- collateral/ inter carpel ligaments and triangular fibrocartilage
Pinch grip dynamometer
Test strength,
p-pinch, tip pinch, Palmer pinch
Intermetacarpal glide
Grasp MC joint
Glide in superior and inferior directions
Pn or laxity
Collateral ligament damage
Valgus/ Varus stress test of radio carpal & ulnar carpal joint
Stabilize the MC with other hand
Apply varus/ valid stress to wrist
Pos- pain or increase varus/ valgus stress, movement
Indicate damage to ucl or rcl
Valgus and varus stress test for interphalangeal joints
Stabilize phalanx proximal to joint being tested
Pos- gapping
Indicates - collateral ligament
UCL stress test for thumb
Stabilize 1 MC and grasp proximal phalanx
Adduct thumb applying valgus stress to UCL perform in extension and flexion
Pos-gapping
Indicates: UCL
Phalen’s test
Use a hand at a time over pressure during maximal passive wrist flexion & hold 1 minute
- tingling at median nerve region( thumb, index, middle, lateral ring finger)
Indicates- medial nerve compression
Reverse Phalen’s test
Palms together for maxim extension holding for 1 minute
Pos- tingling at medial nerve region
Indication-Median nerve compression
Tinel’s test over median nerve
Tapping over the carpal tunnel
Pos- pain, tingling, or paresthesia
Indicates: compression of the median nerve
Tinel’s sign over ulnar nerve
Test- tap over Guyon’s tunnel
Pos- pn & paresthesia in half of ring finger and pinky
Indicates- ulnar nerve irritation
Whartenbergs sign
The fingers are flat and abducted and the patient has to adduct the little finger back to the rest of the fingers
Pos- inability to return 5th finger to rest of fingers
Indication- ulnar nerve
neuropathy
Tinel’s sign over radial nerve
Tap over area of proximal to radial styloid process ( thumb up)
Pos- pn and paresthesia in dorsal thumb to base of index
Indication- radial nerve irritation
Digital Allen’s test
Pumping the hand several times to pump blood out of hand and fingers hold fists closed while examiner compresses radial ulnar arteries
Observe color in hands
Pos- delay or absence of color/ flushing
Indicates: occlusion of artery- radial or ulnar
Finkelsteins test
Test : ulnar deviate the wrist with slight over pressure
Pos- pn in radial styloid process along abductor pollicis longus and brevis
Indicates- dequervins syndrome( tenosynovitis of extensor pollicis and abductor pollicis longus)
Tap or percussion test
Test: flick tip of finger
Pos- pn at site of expected injury
Indication-possible phalanx frature
