Wrist/Hand Orthopedic Tests

Question 1

Bracelet Test

Answer 1

Compression causes acute forearm, wrist, and hand pain

Indicates RA

Question 2

Bunnel-Littler Test

Answer 2

PIP joint cannot be flexed indicates a tight intrinsic muscle or contracture of the joint capsule=positive

Question 3

Finkelstein Test

Answer 3

Action produces pain over abductor pollicis longus and extensor pollicis brevis tendons at wrist
Indicates tenosynovitis

Question 4

Froment Paper Sign

Answer 4

Failure to maintain the grip when paper is pulled away indicates ulnar nerve paralysis

Question 5

Phalen Sign/Reverse Phalen Sign

Answer 5

Tingling sensations that radiate into thumb, index finger and middle and lateral half of ring finger
Indicates carpal tunnel syndrome caused by median nerve compression

Question 6

Pinch Grip Test

Answer 6

Pt is unable to pinch tip to tip and has a pulp-to-pulp pinch of index finger and thumb, sign for anterior interosseous nerve syndrome

Question 7

Tight Retinacular Ligament Test

Answer 7

If DIP does not flex, ligaments or capsule are tight or contracted
If PIP flexes easily, ligaments are tight but capsule is normal

Question 8

Tinel Sign (median nerve/tunnel of Guyon)

Answer 8

Tingling and paresthesia must be felt distal to point of percussion for positive finding

Question 9

Wringing Test

Answer 9

Paresthesia in hand indicates CTS
Pain elicited at elbow indicates epicondylitis
Wrist discomfort indicates arthropathy or carpal derangement