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    Wrist Joint Special Test

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    camy bhagat
    The document summarizes the wrist joint, including its anatomy, range of motion, and common clinical tests. The wrist joint consists of the radiocarpal joint and midcarpal joint. It allows for flexion-extension and ulnar-radial deviation. Special tests described include those for tendons, nerves, and circulation. Tests for tendons include Boyes, Bunnel-Littler, Finkelstein, and sweater finger. Neurological tests include Phalen's, Tinel's sign, and two-point discrimination. Tests for circulation include Allen and digit blood flow.

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    © All Rights Reserved
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    Wrist Joint Special Test

    Uploaded by

    camy bhagat
    88 views38 pages
    The document summarizes the wrist joint, including its anatomy, range of motion, and common clinical tests. The wrist joint consists of the radiocarpal joint and midcarpal joint. It allows for flexion-extension and ulnar-radial deviation. Special tests described include those for tendons, nerves, and circulation. Tests for tendons include Boyes, Bunnel-Littler, Finkelstein, and sweater finger. Neurological tests include Phalen's, Tinel's sign, and two-point discrimination. Tests for circulation include Allen and digit blood flow.

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    Wrist joint Special test

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    The document summarizes the wrist joint, including its anatomy, range of motion, and common clinical tests. The wrist joint consists of the radiocarpal joint and midcarpal joint. It allows for flexion-extension and ulnar-radial deviation. Special tests described include those for tendons, nerves, and circulation. Tests for tendons include Boyes, Bunnel-Littler, Finkelstein, and sweater finger. Neurological tests include Phalen's, Tinel's sign, and two-point discrimination. Tests for circulation include Allen and digit blood flow.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    88 views38 pages

    Wrist Joint Special Test

    Uploaded by

    camy bhagat
    The document summarizes the wrist joint, including its anatomy, range of motion, and common clinical tests. The wrist joint consists of the radiocarpal joint and midcarpal joint. It allows for flexion-extension and ulnar-radial deviation. Special tests described include those for tendons, nerves, and circulation. Tests for tendons include Boyes, Bunnel-Littler, Finkelstein, and sweater finger. Neurological tests include Phalen's, Tinel's sign, and two-point discrimination. Tests for circulation include Allen and digit blood flow.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 38

    WRIST JOINT

    Patel Dharti J.
    3rdyear,BPT
     INTRODUCTION

     Synovial joint
     Ellipsoid variety

     Articulation –
    Between Lower end of Radius, Articulation
    disc of Inferior Radioulnar Joint Proximally
    AND
    Three lateral bones of proximal row of carpals
    Distally.
    i.e Scaphoid
    Lunate
    Triquetral
    WRIST JOINT

     The wrist consist of two joints.


     RADIOCARPAL JOINTS
     MIDCARPAL JOINTS
     Thewrist joint has 2 degree of
    freedom.

     EXTENSION – FLEXION

     ULNAR DEVIATION -
    RADIAL DEVIATION
    FLEXION = 65-85 DEGREE
    EXTENSION = 60-85 DEGREE
    ULNAR DEVIATION = 20-45DEGREE
    RADIAL DEVIATION = 15-
    21DEGREE
    SPECIAL TESTS OF
    WRIST

     For Tendons and Muscles


     For Neurological
    Dysfunction
     For Circulation and
    Swelling
    TESTS FOR TENDONS & MUSCLES

    1) Boyes Test
    2) Bunnel-littler Test
    3) Finkelstein Test
    4) Sweater Finger Test
    1.BOYES TEST
     Used for test central slip of extensor
    hood.
    2.BUNNEL-LITTLER TEST

     Finochietto-bunnel Test
     Indicate tight muscle capsule or
    contracture of the joint capsule.
    BUNNEL-LITTLER TEST
     Method:2
     IF PIP joint flexes fully it indicate INTRINSIC
    muscles are tight.
     IF PIP joint does not flexes it indicate
    CAPSULE is tight.
     Intrinsic-plus test
    3. FINKELSTEIN TEST

     It is used to determine De Quervain or


    Hoffmann disease and Paratenonitis in
    thumb.
     Compare bilateraly,

    Because normal individual may have


    discomfort.
     It indicate paratenonitis of

    Abductor Pollicis Longus


    and
    Extension Pollicis Brevis
    tendon.
    4. SWEATER FINGER SIGN
     Indicates rupture of
    Flexor Digitoram Profundas.
     Most of occure in Ring finger.
    TESTS FOR
    NEUROLOGICAL
    DYSFUNCION
    1) Carpal Compression Test
    2) Flick Maneuver
    3) Froment’s “Paper” Sign
    4) Hand Elevation Test
    5) Phalen’s Test
    6) Reverse Phalen’s Test
    7) Tethered Median Nerve Stress
    Test
    8) Tinel Sign
    9) Weber’s Two Point
    Discrimination Test
    10)Wrinkle Test
    1. CARPAL COMPRESSION
    TEST
     Indicating Carpal Tunnel Syndrome or
    Median nerve pathology.
     30 sec
    2. FLICK MANEUVER

     Symptoms relive of median nerve


    distributon pathology.
    3. FROMENT’S “PEPAR” SIGN

     Indicating Ulnar nerve palsy by paralysis


    of adductor pollicis muscle.
    4. HAND ELEVATION TEST
     Symptoms
    reproduce it
    Indicates medial
    nerve
    distribution
    pathology.
     2 min
    5. PHALEN’S TEST
     Indicates Carpal Tunnel Syndrome caused
    by pressure on Median nerve.
     1 min
    6. REVERSE PHALEN’S TEST

     Prayer Test
     Indicating Median nerve pathology.
    7. TETHERED MEDIAN
    NERVE STRESS TEST
    (TMNST)

     Indicating Median nerve pathology.


    8.TINEL SIGN
     Indicating Carpal tunnel syndrome.
    9. WEBER’S TWO POINT
    DISCRIMINATION TEST
     Moberg’s two point discrimination test
     Threshold for Discrimination

     Device – TWO POINT DISCRIMINARTION


    AESTHESIOMETER
    NORMAL VALUES

    Normal Less then 6 mm


    Fair 6 to 10 mm
    Poor 11 to 15 mm
    Protective 1 point perceived
    Anesthetic 0 point perceived
    10. WRINKLE TEST
     The patients finger placed into warm
    water for approximately 5-20 minute.
     The Examiner remove patients finger from
    water and then observes.
     NORMAL finger shows wrinkling on pulp,

    But
    DENERVATED once do not.
     The test valid only within the first few
    month after injury.
    WRINKLE TEST
     Also called Shrival Test.
    TESTS FOR
    CIRCULATION AND
    SWELLING

    1. Allen Test
    2. Digit Blood Flow
    3. Figure of Eight Measurement
    1. ALLEN TEST
     Indicates Arterial Insufficiency.
    2. DIGIT BLOOD FLOW

     Indicated
    Restricted Flow
    and Arterial
    Insufficiency.
     3 SEC
    3. FIGURE OF EIGHT
    MEASUREMENT

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