Quick Review: Examination of the Hand, Wrist, and Elbow

00:01 Alright, so let's move on to review some of this material.

00:07 The important findings that we looked at for each of these diagnosis have been outlined here.

00:12 So for carpal tunnel syndrome, the hand elevation tests can be particularly useful.

00:16 The Phalen's tests and Tinel's tests can be useful in combination with other tests, but neither one of them is a make or break type of finding.

00:27 For Basal joint arthritis, that is disease of the first carpometacarpal joint at the base of the thumb, we're going to be doing that grind test where we're grinding the metacarpal bone proximately into the articulation with the hand bones.

00:42 And then the Eicoff's test, often wrongly called the Finkelstein's test is a marker of De Quervain's tenosynovitis.

00:51 So which of the following is not a test for carpal tunnel syndrome? Hand elevation test.

00:58 The flick sign.

00:59 Tinel's sign.

01:01 Phalen's sign.

01:02 Or Eicoff's? So each of these would potentially be seen in carpal tunnel syndrome except Eicoff's which is associated with De Quervain's tenosynovitis.

01:16 I'll just remind you that the flick sign is when patients report that simply shaking their hand like this helps them with their symptoms and that historical line of questioning helps to direct you towards carpal tunnel syndrome.