Test Name Procedure + IND

Bracelet Test Squeeze distal radius Forearm, wrist and RA

and ulna hand pain
Bunnel Littler Test 1.Extend pt’s MCP 1.If ROM increases Interphalangeal
2.Passively flex pt’s =intrinsic muscle Capsular Contracture
PIP tightness vs. Intrinsic muscle
3.Flex pt’s MCP 2.If no change tightness
(stabilize) =Capsular tightness
4.Passively flex pt’s
PIP again

Carpal Lift Sign Pt extends finger off Pain at dorsum of Carpal Fracture or
table against wrist Sprain
examiner’s
resistance
Cascade Sign Any of the fingers are Internal derangement
askew of CMC joint and
internal derangement
of phalanges

Seen with Fractures

of 2nd to 5th MCs
Finkelstein Test 1.The patient makes Pain in the 1st dorsal De Quervain
a fist with the compartment Tenosynovitis
thumb inside
the fingers and (extensor pollicis
ACTIVELY
ulnar deviates brevis & abductor
pollicis longus)
2. The examiner
PASSIVELY
deviates the
wrist in an ulnar
direction
(adding
overpressure
in ulnar
deviation)

Finesterer Sign Examiner percusses Pain at proximal wrist Aspetic necrosis of

the head of the 3rd the lunate (Kienbock
 MC disease)
Froment Paper Sign 1.Inability of patient Ulnar Nerve Palsy
to hold
paper/maintain grip
by (inability to adduct
the thumb)
OR
2.Thumb flexion to
hold the paper
Interphalangeal Probe the MCP Severe pain and Interdigital Neuroma
Neuroma Test interdigital spaces paresthesia
with the blunt end of
a reflex hammer
Maisonneuve Sign Pt extends their wrist Marked Colles Fracture
(you don’t do hyperextensibility
anything here 😊)
Phalen Sign/Prayer Pain and paresthesia Carpal Tunnel
Sign in median nerve Syndrome
distribution

Hold for 1 minute

Reverse Pain and paresthesia Carpal Tunnel
Phalen/Prayer Sign in the median nerve Syndrome
distribution

Pinch Grip Test Pt pinches tip of Pulp to pulp pinch Anterior Interosseous
index to tip of thumb (as opposed to tip to Nerve Syndrome
(again don’t do tip)
anything here)
Test for Tight 1.The examiner fixes Joint doesn’t flex Fixation of
Retinacular the PIP joint in the =collateral ligaments Phalangeal
Ligaments neutral position and joint capsule are Retinacular
2.Pt actively flexes tight Ligaments
DIP while examiner
stabilizes the Joint flexes freely
proximal IP in neutral =collateral ligaments
3.Examiner still are tight but capsule
stabilizes and flexes is normal
the DIP for the
patient
Tinel Sign at the Tap over volar Reproduction of pain Peripheral
Wrist (palmar surface) and paresthesia in Neuropathy of
1.Carpal peripheral nerve Median or Ulnar
Tunnel=Median distribution Nerve
 2.Tunnel of
Guyon=Ulnar
3.Lateral
epi/olecranon=Radial
Wartenberg Sign Pt grasps a 5th digit remains Ulnar Nerve
dynamometer abducted does not Paralysis
contribute to strength
Wringing Test Wring a towel 1.Paresthesia in Elbow, Wrist or Hand
hand=Carpal Tunnel Derangement
Syndrome

2.Elbow
Pain=Epicondylitis

3. Wrist discomfort
=Arthropathy/carpal
derangement
Dellon Moving 2-Point Discrimination Test Weber 2-Point Discrimination
Dermatome sensory disturbances Peripheral Nerve Sensibility
D for Dellon= D for Dermatome

Ulnar Nerve Testing Cluster:

1. Tinel Sign (at elbow/cubital tunnel AND/OR the tunnel of Guyon at wrist)
2. Elbow Flexion Test
3. Froment’s Sign
4. Wartenberg Sign
Carpal Tunnel Syndrome (CTS) Cluster:

1. Phalen
2. Reverse Phalen
3. Tinel Sign (over volar surface of carpal tunnel)
4. Wringing Test