Bunnell-Littler Test
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Original Editor - Jon DeVaul, PT, DPT.
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Purpose
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To differentiate between intrinsic muscle or capsular tightness in the affected digit. A typical patient presentation may include pain located in the distal intermetacarpal space and with prolonged gripping or making a fist. Symptoms are most often seen in the ring and long finger.
Technique
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Bunnel-Littler tests
The MCP is held in an extended position and you passively flex the
PIP. Repeat test with MCP flexed. If no change in motion it indicated
capsular resteriction to motion at the PIP joint – MOBILIZE.
If the motion increases when the MCP is flexed it indicates tightness
in the intrinsic (lumbricale) muscles. Treatment is to STRETCH
Evidence[edit | edit source]
Provide the evidence for this technique here
Resources[edit | edit source]
add any relevant resources here
References
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