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UE - FA, WRIST, HAND

UE - FA, WRIST, HAND SPECIAL TESTS

QuestionAnswer
Active tip-to-tip pinch between thumb and index finge Pinch Grip test
Therapist holds wrist in flexion, patient resists finger extension Finger Extension test/Shuck test
Positive sign: pain Finger Extension test/Shuck test
Indication: radiocarpal/midcarpal instability, inflammation, scaphoid instability, Kienbock’s disease Finger Extension test/Shuck test
Ask patient to make a fist Murphy’s sign
Positive sign: head of 3rd MCP level with 2nd and 4th Murphy’s sign
Forearm pronated, push distal ulna downward, compare both sides Piano keys test
Positive sign: difference in mobility Piano keys test
PIP neutral, flex DIP by examiner Haines-Zancolli test
Positive sign: no DIP flexion Haines-Zancolli test
PIP flexed, flex DIP Haines-Zancolli test
Positive sign: DIP flexion Haines-Zancolli test
MCP slightly extended, flex PIP Bunnel Littler test
Positive sign: no PIP flexion Bunnel Littler test
MCP slightly flexed, flex PIP Bunnel Littler test
Positive sign: PIP flexes fully Bunnel Littler test
Make a fist with thumb inside fingers, passively ulnar deviate Finkelstein test
Positive sign: pain in APL/EPB Finkelstein test
Make a fist Sweater finger sign
Positive sign: inability to flex DIP Sweater finger sign
Flex middle digit, alternately radial and ulnar deviate Egawa sign
Positive sign: inability to perform Egawa sign
Patient grasps paper between thumb and index, therapist pulls Froment’s Paper Sign
Positive sign: flexion at terminal phalanx of thumb Froment’s Paper Sign
Positive sign: hyperextension of MCP joint of thumb (Jeanne’s sign) Froment’s Paper Sign
Hand cleansed with alcohol, fingertip pressed on paper, sprayed with ninhydrin, wait 24h Ninhydrin test
Positive sign: no purple stain Ninhydrin test
Max wrist flexion by pushing together, hold 1 minute Phalen’s test
Positive sign: tingling in median nerve distribution Phalen’s test
Wrist extension (prayer position), pressure on carpal tunnel, move toward waist Reverse Phalen’s test
Positive sign: tingling in median nerve distribution Reverse Phalen’s test
Tap carpal tunnel Tinel’s sign (wrist)
Positive sign: tingling sensation Tinel’s sign (wrist)
Patient closes/opens hand, PT presses ulnar artery, patient opens hand, PT releases one artery at a time Allen’s test
Actively flex elbow 90°, resist elbow extension and forearm pronation Test for Pronator Teres syndrome
Positive sign: tingling in median nerve distribution
Positive sign: inability to perform tip-to-tip, does pulp-to-pulp Pinch Grip test
Created by: ly8li
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