Wrist

Question 1

Tinel’s

Answer 1

seated

tap over flexor retinaculum (median nerve)

Question 2

Phalen’s

Answer 2

seated
dorsum of hands together, flexing wrists (carpal tunnel)
aka wrist flexion test

Question 3

Reversed Phalen’s

Answer 3

seated
palms of hands together, extending wrists (prayer sign)
(carpal tunnel)

Question 4

Pinch

Answer 4

seated

bring index and thumb tips together (median nerve)

Question 5

Froment’s

Answer 5

seated
pull paper from between pt’s index and adducted thumb
(ulnar nerve)

Question 6

Finkelstein’s

Answer 6

seated
bring thumb in palm, make fist, ulnar deviate
(dequervain’s dz)

Question 7

Bunnel-Littler’s

Answer 7

seated

1. w/ MCP extended , flex PIP
2. w/ MCP flexed, flex PIP

Question 8

Retinaculum (DIP)

Answer 8

seated
seated
1. w/ PIP extended , flex DIP
2. w/ PIP flexed, flex DIP

Question 9

Bracelet

Answer 9

seated
grasp and compress distal radius and ulna
(RA, ganglion cyst, carpal tunnel)

Question 10

Finsterer’s

Answer 10

seated, pronated fist

strike base of 3rd metacarpal (kienbock’s dz)