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DPT 616 : MSK > Wrist Special tests > Flashcards

Wrist Special tests Flashcards

1
Q

what are the tests for carpal tunnel syndrome?

A

phalen test

reverse phalen test

carpel tunnel compression test

tinel test

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2
Q

what is the phalen test a test for?

A

carpal tunnel syndrome

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3
Q

how is the phalen test performed?

A

press the backs of the hands against each other for 60 seconds

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4
Q

what is a positive phalen test?

A

reproduction of pain/paresthesia in median nerve distribution

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5
Q

what is the reverse phalen test a test for?

A

carpal tunnel syndrome

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6
Q

how is the reverse phalen test performed?

A

press the palms against each other (prayer hands) for 60 seconds

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7
Q

what is a positive reverse phalen test?

A

reproduction of pain/paresthesia in median nerve distribution

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8
Q

what is the carpal tunnel compression test a test for?

A

carpal tunnel syndrome

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9
Q

how is the carpal tunnel compression test performed?

A

apply compression to the carpal tunnel with your thumbs with their hand in supination for 30 seconds

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10
Q

what is a positive carpal tunnel compression test?

A

reproduction of pain/paresthesia in median nerve distribution

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11
Q

what is the tinel test a test for in the wrist?

A

carpal tunnel syndrome OR tunnel of guyon

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12
Q

how is the tinel test performed?

A

tap on the carpal tunnel and span the pisiform to the radial side of the wrist

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13
Q

what is a positive tinel test for carpal tunnel syndrome?

A

pain/paresthesia in digits 2-3 and thumb

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14
Q

what is a positive tinel test for tunnel of guyon?

A

pain/paresthesia in the dorsum of digits 4-5

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15
Q

what are the tests for ulnar nerve dysfxn?

A

froment sign

wartenburg sign

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16
Q

what is the froment sign a test of?

A

ulnar nerve dysfxn

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17
Q

how do we test for froment sign?

A

have the pt grasp a piece of paper in the webbing of the hand and try to pull it away

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18
Q

what is a positive froment sign?

A

can’t hold the paper or flexes the DIP from weakness of the adductor pollicus

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19
Q

what is wartenburg sign a test for?

A

ulnar nerve dysfxn

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20
Q

how do we test for wartenburg sign?

A

put the pinky into abduction and see if the pt can hold it there

OR bring the pinky into abduction and resist adduction

21
Q

what is a positive wartenburg sign?

A

can’t bring pinky into adduction or when adducting the fingers, the pinky drifts out into abduction

22
Q

what are the tests for TFCC syndrome?

A

TFCC load test

TFCC stress test

grip rotatory impaction test (GRIT)

23
Q

what is the TFCC load test a test for?

A

TFCC syndrome

24
Q

how is the TFCC load test performed?

A

put the pt’s hand into UD and apply axial compression through the ulna

25
Q

what is a positive TFCC load test?

A

pain in the ulnar side of the wrist

26
Q

what is the TFCC stress test for?

A

TFCC syndrome

27
Q

how is the TFCC stress test performed?

A

have the pt in a chair with armrests and push their hands into the armrests to lift themselves up a little putting the wrist in UD with compression

28
Q

what is the GRIT a test for?

A

TFCC syndrome

29
Q

how is the GRIT performed?

A

have the pt grip the grip dynamometer in pronation and supination and note the strength in each position

30
Q

what is a positive TFCC load test?

A

pain in the ulnar side of the wrist

31
Q

what is a positive TFCC stress test?

A

pain in the ulnar side of the wrist

32
Q

what is a positive GRIT?

A

grip strength in supination>grip strength in pronation

33
Q

what is the Watson scaphoid instability test a test for?

A

intercarpal instability

34
Q

how is the Watson scaphoid instability test performed?

A

bring the pt’s wrist into UD and extension then RD and flexion while applying pressure to the scaphoid

35
Q

what is a positive Watson scaphoid instability test?

A

subluxation or pain

36
Q

what is the axial loading test a test for?

A

scaphoid fracture

37
Q

how is the axial loading test performed?

A

stabilize the first metacarpal and apply axial compression through the first CMC

38
Q

what is a positive axial loading test?

A

pain

39
Q

what is the Murphy sign a test for?

A

lunate dislocation

40
Q

how do we test for the Murphy sign?

A

have the pt make a fist and observe the position of the knuckles

41
Q

what is a positive Murphy sign?

A

third digit MCP in line with the others or depressed

42
Q

what is the Bunnel-Littler test a test for?

A

intrinsic tightness or PIP capsular tightness

43
Q

how is the Bunnel-Littler test performed?

A

hold the pt’s MCP in extension while you flex the PIP noting the available ROM, then flex the MCP and PIP and note the available ROM

44
Q

what is a positive Bunnel-Littler test for PIP capsular tightness?

A

no change in ROM with MCP flexion vs extension

45
Q

what is a positive Bunnel-Littler test for intrinsic tightness?

A

less motion with MCP flexion than extension

46
Q

what is Finkelstein test a test for?

A

DeQuervain’s tenosynovitis

47
Q

how is the Finkelstein test performed?

A

have the pt make a fist with the thumb tucked and carefully and slowly UD

48
Q

what is a positive Finkelstein test?

A

pain with UD

DPT 616 : MSK (21 decks)

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