Wrist and Hand Special Tests Flashcards
Finkelstein’s test - tests for what
de Quarvain’s tenosynovitis
Finkelstein’s test - how to perform
Pt makes fist with thumb within confines of fingers
Passively move wrist into ulnar deviation
Bunnel Littler test - tests for what
Tightness in structures surrounging MCP joints
Bunnel Littler test - how to perform
MCP joint stabilized in slight ext while PIP is flexed
Then MCP is flexed and PIP is flexed
Differentiates btw tight capsule and tight intrinsics
If flex limited both - capsule
If more PIP flex with MCP flex - intrinsics are tight
Tight retinacular test - tests for what
Tightness around PIP joint
Tight retinacular test - how to perform
PIP stabilized in neutral while DIP flexed
Then PIP flexed and DIP flexed
Different btw tight capsule and tight retinacular ligaments
If more DIP flexion with PIP flex - tight retinacular lig
If tight with both - capsule
Ligamentous Instability Tests - how to perform
Fingers supported and stabilized
Valgus and varus forces applied to PIP joints
Repeated at DIP joints
Froment’s Sign - tests for what
Ulnar nerve dysfunction
Froment’s Sign - how to perform
Pt grasp paper btw first and second digits of hand - pull paper out and look for IP flexion of thumb (would be compensation of weak adductor pollicis)
Tinels sign - tests for what
Capral tunnel copression of median nerve
Tinels sign - how to perform
Tap region where median nerve passes through carpal tunnel
Phalen’s Test - tests for what
carpal tunnel compression of median nerve
Phalen’s Test - how to perform
Pt maximally flexes both wrists holding them against each other for 1 minute
Two point discrimination test - how to perform
pt sitting with hand stabilized
use two point discriminator or paper clip to assess their ability to distinguish
Allen’s test - tests for what
vascular compromise
