Wrist/Hand Special Tests

Question 1

Thumb ulnar collateral ligament test is a

Answer 1

ligament pathology test

Question 2

watson (scaphoid shift) tests for

Answer 2

ligament pathology test

Question 3

Bunnell-Littler test tests for

Answer 3

muscle/tendon pathology

• differentiate between capsule and intrinsic tightness if proximal IP flexion is limited
• positive response: inability to flex the IP joint = tight intrinsics or contracture of joint capsule

Question 4

Finkelstein’s test tests for

Answer 4

muscle/tendon pathology
-determine presence of DeQuervain’s or Hoffman’s disease - paratendonitis of the thumb

-pain along the radial aspect of the wrist esp with ulnar deviation

(+) sign: pain over AbPL or EPB

Question 5

Neurological dysfunction tests of hand

Answer 5

Phalen's test
-carpal tunnel syndrome (median nerve); numbness/tingling in 1st-3rd digits 
Tinel's sign 
-carpal tunnel syndrome
-numbness/tingling in 1st-3rd digits 
Two-pt discrimination 
Carpal compression 
Hand elevation

Question 6

Circulatory dysfunction tests of hand

Answer 6

Allen test
Digital blood flow test
Figure of 8 measurment
Hand volumetry