Page 441 - 2021 IDMT Digital

Elbow and Forearm
11 Ulnar Nerve Have patient fully flex at the Pain and/or numbness elicited
Compression Test elbow and press on the ulnar is a positive test and indicates
nerve in the cubital tunnel cubital tunnel syndrome
12 Resisted Wrist Extension Have patient make a fist and Pain at the lateral epicondyle
hold wrist in extension, is a positive test and suggests
support the patient’s forearm, tennis elbow
and push down on the hand
dorsum
13 Resisted Wrist Flexion Have patient make a fist and Pain at the medial epicondyle
hold wrist in flexion, support is a positive test and suggest
the patient’s forearm, and golfers elbow
pull up on the hand
Hand and Wrists
14 Flexor Digitorum Have patient fully flex all Inability to flex at DIP joint
Profundus/Flexor Pollicis digits but the digit tested; in suggests a flexor digitorum
Longus Test turn test active and resisted profundus or flexor pollicis
flexion at DIP joint for all longus injury
fingers and IP joint for the
thumbs
15 Flexor Digitorum Have patient extend all digits, Inability to flex at PIP joint
Superficialis Test hold down all digits except suggests a flexor digitorum
finger tested; ask patient to superficialis injury
flex at PIP joint
16 Carpal tunnel The examiner supports the Numbness or tingling in the
compression test patient’s supinated wrist, median nerve distribution of
flexed to 20 degrees and the fingers suggests carpal
presses firmly with thumb or tunnel syndrome
finger in the space between
the flexor carpi radialis and
palmaris longus tendons at
the level of the distal wrist
crease
17 Phalen’s Test Instruct the patient to place Numbness or tingling in the
the back of both hands median nerve distribution of
together with maximal wrist the fingers suggests carpal
flexion for one minute tunnel syndrome
18 Thumb Ulnar Collateral Grasp the patient’s non- Laxity of the thumb MCP joint
Ligament Instability Test injured thumb and flex at on the ulnar side suggests an
MCP joint about 30 degrees; ulnar collateral ligament
apply a force to deviate injury
thumb away from index finger
and note any laxity
Compare this result with the
injured thumb
19 Finkelstein’s Test Instruct the patient to flex the Sharp pain over the first
thumb across the palm and dorsal compartment of the
then to ulnarly deviate the wrist is a positive test and
wrist suggests DeQuervain’s
tenosynovitis

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