Wrist Special tests

Question 1

what are the tests for carpal tunnel syndrome?

Answer 1

phalen test

reverse phalen test

carpel tunnel compression test

tinel test

Question 2

what is the phalen test a test for?

Answer 2

carpal tunnel syndrome

Question 3

how is the phalen test performed?

Answer 3

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

Question 4

what is a positive phalen test?

Answer 4

reproduction of pain/paresthesia in median nerve distribution

Question 5

what is the reverse phalen test a test for?

Answer 5

carpal tunnel syndrome

Question 6

how is the reverse phalen test performed?

Answer 6

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

Question 7

what is a positive reverse phalen test?

Answer 7

reproduction of pain/paresthesia in median nerve distribution

Question 8

what is the carpal tunnel compression test a test for?

Answer 8

carpal tunnel syndrome

Question 9

how is the carpal tunnel compression test performed?

Answer 9

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

Question 10

what is a positive carpal tunnel compression test?

Answer 10

reproduction of pain/paresthesia in median nerve distribution

Question 11

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

Answer 11

carpal tunnel syndrome OR tunnel of guyon

Question 12

how is the tinel test performed?

Answer 12

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

Question 13

what is a positive tinel test for carpal tunnel syndrome?

Answer 13

pain/paresthesia in digits 2-3 and thumb

Question 14

what is a positive tinel test for tunnel of guyon?

Answer 14

pain/paresthesia in the dorsum of digits 4-5

Question 15

what are the tests for ulnar nerve dysfxn?

Answer 15

froment sign

wartenburg sign

Question 16

what is the froment sign a test of?

Answer 16

ulnar nerve dysfxn

Question 17

how do we test for froment sign?

Answer 17

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

Question 18

what is a positive froment sign?

Answer 18

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

Question 19

what is wartenburg sign a test for?

Answer 19

ulnar nerve dysfxn

Question 20

how do we test for wartenburg sign?

Answer 20

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

OR bring the pinky into abduction and resist adduction

Question 21

what is a positive wartenburg sign?

Answer 21

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

Question 22

what are the tests for TFCC syndrome?

Answer 22

TFCC load test

TFCC stress test

grip rotatory impaction test (GRIT)

Question 23

what is the TFCC load test a test for?

Answer 23

TFCC syndrome

Question 24

how is the TFCC load test performed?

Answer 24

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

Question 25

what is a positive TFCC load test?

Answer 25

pain in the ulnar side of the wrist

Question 26

what is the TFCC stress test for?

Answer 26

TFCC syndrome

Question 27

how is the TFCC stress test performed?

Answer 27

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

Question 28

what is the GRIT a test for?

Answer 28

TFCC syndrome

Question 29

how is the GRIT performed?

Answer 29

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

Question 30

what is a positive TFCC load test?

Answer 30

pain in the ulnar side of the wrist

Question 31

what is a positive TFCC stress test?

Answer 31

pain in the ulnar side of the wrist

Question 32

what is a positive GRIT?

Answer 32

grip strength in supination>grip strength in pronation

Question 33

what is the Watson scaphoid instability test a test for?

Answer 33

intercarpal instability

Question 34

how is the Watson scaphoid instability test performed?

Answer 34

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

Question 35

what is a positive Watson scaphoid instability test?

Answer 35

subluxation or pain

Question 36

what is the axial loading test a test for?

Answer 36

scaphoid fracture

Question 37

how is the axial loading test performed?

Answer 37

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

Question 38

what is a positive axial loading test?

Answer 38

pain

Question 39

what is the Murphy sign a test for?

Answer 39

lunate dislocation

Question 40

how do we test for the Murphy sign?

Answer 40

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

Question 41

what is a positive Murphy sign?

Answer 41

third digit MCP in line with the others or depressed

Question 42

what is the Bunnel-Littler test a test for?

Answer 42

intrinsic tightness or PIP capsular tightness

Question 43

how is the Bunnel-Littler test performed?

Answer 43

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

Question 44

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

Answer 44

no change in ROM with MCP flexion vs extension

Question 45

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

Answer 45

less motion with MCP flexion than extension

Question 46

what is Finkelstein test a test for?

Answer 46

DeQuervain's tenosynovitis

Question 47

how is the Finkelstein test performed?

Answer 47

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

Question 48

what is a positive Finkelstein test?

Answer 48

pain with UD