Special Tests
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| show | De Quervain Syndrome: First dorsal compartment tenosynovitis. Flex the thumb into the palm and close the fingers around the thumb, then ulnarly deviate the wrist. Positive result is pain in the first dorsal compartment.
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| First CMC Grind Test | show 🗑
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| show | Skier's thumb or Gamekeeper's thumb. UCL Rupture. Apply a valgus stress to the MP joint of the thumb at 0 and 30 flexion. Laxity of 30 of 40 degrees with valgus, or more than 15 degrees greater than the contralteral side is positive for rupture.
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| show | aka Scaphoid shift test. Scaphoid/Lunate dissociation: Palpate the scaphoid and place wrist in ulnar deviation. Maintian pressure on the scaphoid and move the wrist into radial deivation. Positive result: clunk as the scaphoid subluxes.
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| Scaphoid Ballottement Test | show 🗑
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| Finger extension test | show 🗑
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| show | aka lunotriquetral shear test. LT dissociation. In pronation, palpate the lunate with one hand and the pisotriquetral compex with the other, move AP. Positive result is pain reproduction, clikcin, or crepitus.
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| Ulnar fovea sign | show 🗑
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| show | TFCC lesion, ulnar compaction syndrome. ulnarly deviate the wrist and apply axial load throughou the wrist and ulna; move the carpals on the ulna. Positive test pain reproduction and/or crepitus
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| show | passively move the patient's wrist into maximum ulnar deviation. Then apply an axial load while pronating and supination the forearm. positive test reproduces the pain in the ulnar wrist.
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| Ulnocarpal instability test | show 🗑
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| show | DRUJ instability. with the forearm in neutral rotation, stabilize the radius and press the ulnar styloid volarly. When pressure is released, a positive test, the ulna will spring back up to its original position.
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| Piano Key Test | show 🗑
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| Ulnar Compression Test | show 🗑
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| show | Palpate ECU with slight wrist ulnar deviation have the patient slowly rotate the forearm. Positive test is ECU tendon snapping out of the ulnar groove during rotation; may also cause pain.
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| Midcarpal Instability Test | show 🗑
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| show | Degenerative Arthrosis. Apply dorsal pressure to the pisiform. Positive test reproduces pain.
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| Bunnell-Littler Test | show 🗑
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| show | Tests for oblique retinacular ligament tightness or contracture. measure passive DIP flexion with PIP extended; repeat measurement with PIP flexed. ORL is tight if DIP joint motion increases with PIP flexion.
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| show | Test for Vascular disorders. Compress the radial and ulnar arteries; have the patient open and close the hand; ask them to hold the hand open, and release one artery. Repeat with the other artery. A positive test is when the hand does not re-vascularize.
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| show | Tests for weakness of Adductor Pollicus (consistent with Ulnar Nerve Paraslysis). Ask the patient to pinch a piece of pater between the thumb and index finger. Positive test is FLEXION at the thumb IP when you try to pull the paper out.
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| show | Tests for carpal tunnel syndrome. Position the patient with both wrist flexed 9and opposed) hold for at least 30 seconds. Paresthesias along the median nerve distribution is positive.
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| Tinel's Test | show 🗑
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Created by:
aschroeder0614
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