Table 2.
Provocative maneuvers. These are many of the provocative maneuvers used in assessment of ulnar-sided wrist pain. The tests are each listed along with what signifies a positive test, and what pathology is indicated with a positive test
Test | Positive | Pathology represented |
---|---|---|
Ulnocarpal stress test | Pain | Ulnocarpal impaction, central TFCC tear |
Press test | Pain | Ulnar-sided wrist pain, possible TFCC |
Hook of hamate pull test | Pain | Hook of hamate fracture |
Pisiform tracking test/PT grind test | Pain | PT pathology |
LT ballottement test | Pain or laxity | LT tear |
Regan shuck test | Pain or laxity | LT tear |
Kleinman shear test | Pain | LT tear |
DRUJ compression test | Pain | DRUJ arthritis |
Piano key/DRUJ ballottement test | Pain or laxity | DRUJ instability |
Synergy test |
Sharp pain Subluxation or dislocation of tendon |
ECU tendonitis ECU tendon instability |
Ulnar fovea sign | Tenderness | TFCC pathology |
Midcarpal shift test | Painful clunk | Midcarpal instability |