the wrist

Question 1

finklesteins test

Answer 1

-patient makes a fist with thumb inside fingers
-ulnar deviate (towards floor)
testing= Tenosynovitis Abd Pol Long, Ext Pol Brevis
positive test= Pain on Lat Wrist

Question 2

phalen’s/ reverse phalen’s

Answer 2

-dorsal hands together
-hold for 2 mins (if positive will usually get symptoms in 10 secs no need to carry on)
-increases pressure in carpal tunnel

-palmar hands pressed together
-increases pressure quicker- more invasive
testing= Carpal tunnel syndrome
positive test= Pain, numbness, tingle distal to compression

Question 3

Ulnomeniscotriquetral dorsal glide

Answer 3

-patient sits or stands with arm pronated
-examiner places a thumb over ulna dorsally and places the proximal
interphalangeal joint of the index finger of the same hand
over the pisotriquetral complex anteriorly.
-While stabilizing
the ulna, the examiner applies a posteriorly directed
force through the pisotriquetral complex stressing the
TFCC
testing= Triangular fibrocartilage damage
positive test= Pain or Laxity area of TFCC

Question 4

TFCC dorsal glide

Answer 4

• The examiner holds the patient’s forearm with
  one hand and the patient’s hand with the other hand.
  -The examiner then axially loads and ulnarly deviates the
  wrist while moving it dorsally and palmarly or by rotating the forearm
  testing= Triangular fibrocartilage damage
  positive test= Pain or Laxity area of TFCC

Question 5

Tinel’s test

Answer 5

-tests for ulnar nerve
-tap cubital fossa
medial-
-move towards pronator
wrist-
-tap over cubital row (carpel tunnel)
testing= neuropathy
positive test= Pain, numbness, tingle distal to compression

Question 6

allens test

Answer 6

-arm supinated and wrist flexed
-patient makes a fist
-examiner blocks ulnar/ radial arteries
-patient clasps/ pumps fist to remove excess blood
-let go of one artery and repeat with other artery
testing= Artery Stenosis or Occclusion
positive test= Skin remians blanched for greater than 5 Seconds