Wrist Special Test

Question 1

Finkelstein’s Test - purpose

Answer 1

determine presence of de Quervain disease, a paratenonitis in the thumb

Question 2

Finkelstein’s Test - description

Answer 2

pt makes a fist with the thumb inside the fingers. examiner stabilizes the forearm and deviates the wrist toward the ulnar side

Question 3

Finkelstein’s Test - result

Answer 3

pain over the abductor pollicis longus and extensor pollicis brevis tendons at the wrist

Question 4

Bunnel-Litter (Intrinsic-Plus) Test - purpose

Answer 4

identifies tightness in structures surrounding the MCP joint

Question 5

Bunnel-Litter (Intrinsic-Plus) Test - description

Answer 5

MCP joint is held slightly extended while examiner move the PIP joint into flexion. pt remains passive during test

Question 6

Bunnel-Litter (Intrinsic-Plus) Test - result

Answer 6

(+) inability to flex the PIP joint. there is a tight intrinsic muscle or contracture of joint capsule. if MCP joints are slightly flexed, PIP joint flexes full if intrinsic muscles are tight, but it does not flex fully if the capsule is tight

Question 7

Froment’s Sign - purpose

Answer 7

identify ulnar nerve dysfunction

Question 8

Froment’s Sign - description

Answer 8

pt attempts to grasp a piece of paper between the thumb and index finger

Question 9

Froment’s Sign - result

Answer 9

(+) when examiner attempts to pull away the paper, the terminal phalanx of thumb flexes because of paralysis of the adductor pollicis muscle. if at the same time, the MCP joint of thumb hyperextends, (+) Jeanne’s sign. If both tests (+), ulnar nerve paralysis

Question 10

Wartenberg Sign - purpose

Answer 10

identify ulnar nerve neuropathy