Objective tests

Question 1

How do you test grip strength

Answer 1

In neutral rotation by side
You can do 3 tests at each grip handle length - if it bell curves it is normal
If the instrinics are weak it will be weaker at the shorter
If the long finger flexors are weak it will be weaker at longer

Question 2

What is the tabletop test and what are you testing for

Answer 2

the palm and fingers cannot be simultaneously placed on a flat tabletop
tests for dupuytren’s disease

Question 3

how to you test the collateral ligaments

Answer 3

best assessed in full flexion because the PCL provides more true stability than the AL when the joint is in a flexed posture

Question 4

how do you dislocate a MCP

Answer 4

FOOSH - Hyperextension of the MCP - may be underreported and underrecognised due to spontaneous relocation.

Question 5

how to stress test the UCL

Answer 5

in full extension and 30 deg flexion