1 / 17

Wrist Hand Evaluation

Special Tests. Compression testFlick/tap testPercussion testCollateral stress (wrist)Collateral stress (fingers)Watson ClunkTinel's signDigital Allen test. PhalenReverse PhalenMurphy's signDeQuervain's/FinkelsteinLong Finger Flexion testPaper/Froment signBunnell-Littler test. Compres

delling
Download Presentation

Wrist Hand Evaluation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Wrist & Hand Evaluation Part Three

    2. Special Tests Compression test Flick/tap test Percussion test Collateral stress (wrist) Collateral stress (fingers) Watson Clunk Tinel’s sign Digital Allen test Phalen Reverse Phalen Murphy’s sign DeQuervain’s/Finkelstein Long Finger Flexion test Paper/Froment sign Bunnell-Littler test

    3. Compression Test (fracture): Examiner begins by grasping pt’s hand and compressing each digit along the long axis Complete on all digits Pain indicates a positive test for possible phalangeal fracture Do not perform if an obvious deformity is present

    4. Flick/Tap Test (fracture) Stabilize pt’s finger with one hand and “flick” or tap the tip of pt’s finger with the index finger of the other hand Repeat on all digits Pain indicates a positive test for possible fracture

    5. Percussion Test (fracture) Stabilize pt’s hand with one hand and percuss pt’s fingers independently with the index finger of the other hand Repeat on all digits Pain indicates a positive test for possible fracture

    6. Collateral Stress Test (wrist) (capsular laxity): The examiner stabilizes the pt’s distal forearm with one hand while grasping the pt’s hand with the other While holding the pt’s forearm in a neutral position, the examiner then applies valgus and varus forces to the pt’s wrist to test the integrity of the pt’s medial and collateral wrist ligaments, respectively

    7. Collateral Stress Test (fingers) (laxity): The examiner stabilizes the pt’s finger with the thumb and index finger of one hand and applies mild varus and valgus force to each of the interphalangeal joints with the thumb and index finger of the other hand, looking for laxity or abnormal joint opening that may be indicative of lateral and/or medial collateral ligament sprain Repeat on all phalangeal articulations of all fingers

    8. Watson Clunk Test (instability): The examiner stabilizes pt’s distal radius and ulna with one hand and grasps the pt’s scaphoid bone with the thumb and index finger of the other The examiner then attempts to translate the pt’s scaphoid anteriorly and posteriorly Dislocation and/or subluxation indicates a positive test for scaphoid instability

More Related