wrist test Flashcards
test for carpal instability
scaphoid shift test
piano key test DRUJ
UCL/RCL
Capitate apprehension test
test for skiers thumb
valgus stress test
test for tear in triangular fibrocartilage complex
TFCC load/ thumb grind test
test for de quervain tenosynovitis
Finklestein’s test
Resisted thumb extension and abduction reproduced pain
test for carpal tunnel syndrome
Phalen’s test
Tinel’s test
Neural Tissue Provocation Test of Median Nerve
finkelstein test
stabilise distal forearm w/ one hand
patient makes fist with thumb inside
ulnar deviation w/ wrist
positive if pain produced in radial styloid
phalens test
sitting standing
patient makes praying position
but dorsal part of both hands meet each other and fingers directed to the floor
positive if pins and needles or numbness over lateral aspect of hands
scaphoid shift test or watson test
patients arm rest on table
elbow flexion
one hand applies pressure on distal pole of scaphoid with thumb
other hand on the distal end of metacarpals
ulnar deviation (towards pinky) and slight extension
radial deviation (towards thumb) and slight flexion
positive if scaphoid subluxes over dorsal rim of radius - clicking noise
piano key test for DRUJ instability
patients forearm resting on table fully pronated
stabilise one hand with index and thumb on distal end of radial side
thumb and other fingers on distal end of ulna
apply pressure on hand over the ulna
positive if painful, excessive movement and loss of normal end feel
TFCC load grind test
have patient’s forearm rest on table in supination
stabilise forearm with one hand on distal forearm and holding the patient’s hand w/ the other
ulnar deviation + axial compression
positive if pain is reproduced on ulnar side of wrist , clicking noise
how is further load added to TFCC load/grind test
‘scooping’ the hand from flexion to extension
grind test for CMC joint of thumb
patients forearm rest on table in mid supination
support wrist w/ one hand and grasp proximal phalanx and metacarpal
medial and lateral rotation while compression is added down line of metacarpal
positive if crepitus and clicking is reproduced
abduction stress test for UCL
patients forearm rests on table in supination or midprone
stabilise distal end of first metacarpal (thumb)
grip proximal phalanx and apply valgus stress/ abduction
positive if pain or laxity is present
