Wartenberg's Sign: Difference between revisions

No edit summary
(Created page with "{{subst:VUB}}")
Line 1: Line 1:
<div class="editorbox">
<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox">
'''Original Editor '''- [[User:Peter Sheehy|Peter Sheehy]]
'''Original Editors '''  


'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
</div>  
</div>  
== Purpose<br> ==
== Search Strategy ==


Wartenburg’s sign is a test used for assessing integrity of the motor innervations of hand intrinsics in cases of suspected ulnar neuropathy. The inability to perform adducted digital extension is due to weakness in ulnar innervated intrinsic muscles, and the unopposed action of the slightly medially attached extensor digiti minimi results in extension and abduction of the 5th digit.<ref name="Dutton et al">Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.</ref> A positive test indicates ulnar nerve neuropathy but does not determine site of compression (Guyon’s canal, cubital tunnel, arcade of Struthers).
add text here related to databases searched, keywords, and search timeline <br>  


== Technique<br> ==
== Definition/Description ==


The patient is placed with wrist in neutral position and forearm fully pronated and instructed to perform full extension of all the fingers. Once digits are extended patient is asked to fully abduct all fingers and then adduct all fingers. A positive sign is indicated with the observation of abduction of the 5th digit, with inability to adduct the 5th finger when extended.<ref name="Goldman et al">Goldman SB, Brininger TL, Schrader JW, Curtis R, Koceja DM. Analysis of clinical motor testing for adult patients with diagnosed ulnar neuropathy at the elbow. Arch Phys Med Rehabil 2009;90:1846-52.</ref>  
add text here <br>  


<br>
== Clinically Relevant Anatomy  ==


== Evidence  ==
add text here


Provide the evidence for this technique here
== Epidemiology /Etiology  ==


== Resources  ==
add text here <br>


add any relevant resources here  
== Characteristics/Clinical Presentation  ==
 
add text here <br>
 
== Differential Diagnosis  ==
 
add text here
 
== Diagnostic Procedures  ==
 
add text here related to medical diagnostic procedures
 
== Outcome Measures ==
 
add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]]) 
 
== Examination  ==
 
add text here related to physical examination and assessment<br>
 
== Medical Management <br>  ==
 
add text here <br>
 
== Physical Therapy Management <br>  ==
 
add text here <br>
 
== Key Research  ==
 
add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br>
 
== Resources <br>  ==
 
add appropriate resources here <br>
 
== Clinical Bottom Line  ==
 
add text here <br>


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]]
<div class="researchbox">
<div class="researchbox">
<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1JcY43SP_RPRSMJttnbJOHbjkml9j3c3r6OuQvBywsz1o1Cwdt|charset=UTF-8|short|max=10</rss>  
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss>  
</div>  
</div>  
== References  ==
== References  ==


References will automatically be added here, see [[Adding References|adding references tutorial]].  
see [[Adding References|adding references tutorial]].  


<references />  
<references />  


[[Category:Articles]] [[Category:Assessment]][[Category:EIM Student Project 2]] [[Category:Elbow]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special Tests]]
[[Category:Vrije_Universiteit_Brussel_Project|Template:VUB]]

Revision as of 22:32, 7 March 2012

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Search Strategy[edit | edit source]

add text here related to databases searched, keywords, and search timeline

Definition/Description[edit | edit source]

add text here

Clinically Relevant Anatomy[edit | edit source]

add text here

Epidemiology /Etiology[edit | edit source]

add text here

Characteristics/Clinical Presentation[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Diagnostic Procedures[edit | edit source]

add text here related to medical diagnostic procedures

Outcome Measures[edit | edit source]

add links to outcome measures here (also see Outcome Measures Database)

Examination[edit | edit source]

add text here related to physical examination and assessment

Medical Management
[edit | edit source]

add text here

Physical Therapy Management
[edit | edit source]

add text here

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Clinical Bottom Line[edit | edit source]

add text here

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.