WRIST ORTHO TEST

S/S:

• PAIN (P)


• NUMBNESS (N)


• TINGLING (T) (PINS & NEEDLES)


• WEAKNESS (W)

CAUSES:

• REPETITIVE STRESS


• FALLING ON OUTSTRETCHED HAND


• CERVICAL SUBLUXATION

MECHANISM OF INJURY:

• TENDONITIS


• COLLAPSE CARPAL TUNNEL


• DISLOCATED LUNATE
  *** LUNATE IS MOST COMMONONLY DISLOCATED BONE IN BODY
  ***SCAPHOID IS MOST COMMONONLY FRACTURED BONE IN BODY

1. PHALEN'S TEST: MEDIAN NERVE ENTRAPMENT, COLLAPSE CARPAL TUNNEL

• PT SEATED


• DEMONSTRATE FOR TO TO PLACE THE DORSUM OF BOTH HANDS TOGETHER


• WITH FINGERS POINTING DOWNWARD + FOREARMS PARALLEL TO THE FLOOR.


• HOLD FOR 60 SECONDS ( OR UNTIL THE SYMPTOMS ARE REPRODUCED.


• (+) PAIN, NUMBNESS, TINGLING


• Dx: CTS (CARPAL TUNNEL SYNDROME)

2. REVERSE PHALENS TEST: MEDIAN NERVE STRETCH, TENDINITIS PROBLEM

• SAME AS PHALEN'S TEST EXCEPT PALMS TOGETHER + POINTING UPWARD


• SAME AS PHALEN'S TEST AND Dx SAME AS PHALENS TEST

3.TINEL TEST

• PT SEATED


• HOLD PT'S HAND IN SUPINATION


• TAP THE WRIST OVER THE MEDIAN NERVE 3X


• ASK THE PT IF THEY HAVE ANY PAIN, NUMBNESS, TINGLING AFTER EACH TIME YOU STRIKE


• (+) P,N,T


• Dx: CTS

4.CARPAL TUNNEL COMPRESSION TEST

• PT SEATED


• PT HAND SUPINATED COMPRESS MEDIAN NERVE WITH BOTH THUMBS


• HOLD FOR 1 MINUTE, UNTIL THE SYMPTOMS HAVE BEEN REPRODUCED


• (+) PAIN, NUMBNESS, OR TINGLING


• Dx: CARPAL TUNNEL SYNDROME (CTS)