Linscheid Squeeze Test: Difference between revisions

No edit summary
No edit summary
 
(6 intermediate revisions by the same user not shown)
Line 3: Line 3:
== Purpose<br>  ==
== Purpose<br>  ==


This test is used to detect ligamentous instability of the second and third carpometacarpal joints. The examiner supports the metacarpal shafts with one hand. With the other hand, the examiner pushes the metacarpal heads dorsally, then palmarly. Pain localized to the second or third carpometacarpal joints is a positive test.<ref>Magee DJ, Manske RC. Orthopedic Physical Assessment - E-Book. Saunders; 2021.</ref><br>  
This test is used to detect ligamentous instability of the second and third carpometacarpal joints. <ref name=":0">Magee DJ, Manske RC. Orthopedic Physical Assessment - E-Book. Saunders; 2021.</ref> It's also known as the Linscheid Compression Test or Squeeze Test. This is a clinical test used to assess the integrity of the triangular fibrocartilage complex (TFCC) and the [[Lunotriquetral Ligament|lunotriquetral]] (LT) joint in the wrist.It is also used in examination of the [[Wrist & Hand|Wrist]]: Ulnar-Sided [[Wrist & Hand|Wrist]] Pain Due to Ligamentous Injury<ref>Rhee PC, Sauvé PS, Lindau T, Shin AY. [https://pubmed.ncbi.nlm.nih.gov/25091336/ Examination of the wrist: Ulnar-sided wrist pain due to ligamentous injury.] J Hand Surg Am. 2014;39(9):1859–62. </ref><br>  


== Technique<br>  ==
== Technique<br>  ==


The examiner uses a thumb to apply a load in the radial direction at the ulnar border of the triquetrum. This loading results in a compression force across the lunotriquetral joint. If this maneuver produces pain, the result is considered positive.  
The starting position of the patient for the test is sitting position and then the examiner supports the metacarpal shafts with one hand. With the other hand, the examiner pushes the metacarpal heads dorsally, then palmarly. Pain localized to the second or third carpometacarpal joints makes this maneuver result considered positive.<ref name=":0" /> 
{{#ev:youtube|WjrCHP0gB8E|300}}<ref>Alfred University and Human Performance. Linscheid's Test. Available from: https://www.youtube.com/watch?v=WjrCHP0gB8E [last accessed 28/1/2024]</ref>


== Evidence  ==
== Evidence  ==
Line 15: Line 16:
== Resources  ==
== Resources  ==


add any relevant resources here
# [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989398/ Lunotriquetral instability in a climber – case report and review]
# [https://pubmed.ncbi.nlm.nih.gov/6630949/ Instability patterns of the wrist]


== References  ==
== References  ==

Latest revision as of 22:21, 28 January 2024

Original Editor - Pacifique Dusabeyezu
Top Contributors - Pacifique Dusabeyezu

Purpose
[edit | edit source]

This test is used to detect ligamentous instability of the second and third carpometacarpal joints. [1] It's also known as the Linscheid Compression Test or Squeeze Test. This is a clinical test used to assess the integrity of the triangular fibrocartilage complex (TFCC) and the lunotriquetral (LT) joint in the wrist.It is also used in examination of the Wrist: Ulnar-Sided Wrist Pain Due to Ligamentous Injury[2]

Technique
[edit | edit source]

The starting position of the patient for the test is sitting position and then the examiner supports the metacarpal shafts with one hand. With the other hand, the examiner pushes the metacarpal heads dorsally, then palmarly. Pain localized to the second or third carpometacarpal joints makes this maneuver result considered positive.[1]

[3]

Evidence[edit | edit source]

Provide the evidence for this technique here

Resources[edit | edit source]

  1. Lunotriquetral instability in a climber – case report and review
  2. Instability patterns of the wrist

References[edit | edit source]

  1. 1.0 1.1 Magee DJ, Manske RC. Orthopedic Physical Assessment - E-Book. Saunders; 2021.
  2. Rhee PC, Sauvé PS, Lindau T, Shin AY. Examination of the wrist: Ulnar-sided wrist pain due to ligamentous injury. J Hand Surg Am. 2014;39(9):1859–62.
  3. Alfred University and Human Performance. Linscheid's Test. Available from: https://www.youtube.com/watch?v=WjrCHP0gB8E [last accessed 28/1/2024]