Background: A vestibulospinal test known as the Fukuda stepping test (FST) has been suggested to be a measure of asymmetrical labyrinthine function. However, an extensive review of the performance of this test to identify a peripheral vestibular lesion has not been reported.

The patient was a 21-year-old female cadet at a military academy who was evaluated by a physical therapist in a direct-access capacity for a chief complaint of right wrist pain that began 1 day prior after a fall on an outstretched hand. Due to concern for a fracture, the physical therapist ordered radiographs of the right wrist, which were interpreted as normal. At the time of the patient's follow-up visit 2 weeks later, active range of motion of the right wrist was still limited due to pain, and there was exquisite tenderness to palpation over the dorsal aspect of the capitate. Repeat radiographs of the right wrist were ordered and interpreted as normal. Despite the normal radiographs, a high index of suspicion still remained for a fracture. Therefore, magnetic resonance imaging of the right wrist was ordered, which revealed a nondisplaced fracture of the capitate. J Orthop Sports Phys Ther 2014;44(7):541. doi:10.2519/jospt.2014.0408

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