Tests Of The Wrist And Hand

Question 1

What is the Finkelstein test?

Answer 1

For DeQuervain’s –
paratenonitis Abd Pol
Long & Ext Pol Brev 
Pt grips own thumb 
Ulnar dev
\+ve test = pain

Question 2

What is Tinel’s Sign?

Answer 2

Tap over the carpal
tunnel 
\+ve test = Pain, paresthesia 
Median nerve test 
Carpal tunnel syndrome

Question 3

What is the Phalen’s Test?

Answer 3

Flex pt wrists maximally
Hold for 1 minute
+ve test = tingling in thumb, index finger & ½ ring finger

Question 4

What would be the cause of pain for pain on medial rotation of shoulder isometrically?

Answer 4

Subscapularis

Question 5

What is the Load and Shift Test?

Answer 5

ant & post stability 
Pt sitting
Stabilise scapula
Load up Mild compression into Glenoid
Apply AP force to humeral head
Movt 25%=N, up to 50% is GI, over 50% is GII
Labrum test

Question 6

What is the Sulcus sign/ inferior stability?

Answer 6

Sit/St or Lying 
Arm by side 
Elbow at 90° 
Caudad “mobilisation” 
Assessing for excessive
movement
May check at 20-50° as most
sensitive position

Question 7

What is the lift off test?

Answer 7

Standing Position 
Patient lifts off the back 
Must maintain this
position
Problems if lack of movt
or pain will reduce
contraction
Integrity of subscapularis