“Press Test” for Office Diagnosis of Triangular Fibrocartilage Complex Tears of the Wrist

Lester, Benisse; Halbrecht, Joanne; Levy, I. Martin; Gaudinez, Ricardo

doi:10.1097/00000637-199507000-00009

Cited by 98 publications

(34 citation statements)

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“…Exam maneuvers include the piano key test, ulnocarpal stress test, pisiform boost test, press test, DRUJ ballottement, and dynamic examination of the ulnar head with active pronation and supination [41][42][43]. Additional tests, such as a positive ulnar fovea sign, may also indicate ulnotriquetral ligament injury [44].…”

Section: Clinical Exammentioning

confidence: 99%

Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU)

Pang

Yao

2017

Curr Rev Musculoskelet Med

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Purpose of review The goal of this manuscript is to review key historic and recent literature regarding extensor carpi ulnaris (ECU), triangular fibrocartilage complex (TFCC) and distal radioulnar joint (DRUJ) injuries, particularly in athletes. Recent findings Many recent studies examining the ECU focus on clinical and radiographic diagnosis. Several physical exam findings are described in addition to the use of MRI and US. Imaging studies must be clinically correlated due to high incidence of findings in asymptomatic patients.In regard to the TFCC/DRUJ, there are numerous recent studies that support the use of MRA as an adjunctive diagnostic study. There are also a number of repair constructs that are described for the various different kinds of TFCC pathology reviewed here. Summary In summary, there are a number of options for the diagnosis and treatment of ulnar-sided wrist pain. Patient factors, especially in the athletic population, must be taken into account when approaching any patient with these pathologies.

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Section: Clinical Exammentioning

confidence: 99%

Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU)

Pang

Yao

2017

Curr Rev Musculoskelet Med

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“…2). Sollten reproduzierbare Schmerzen über dem Ellenkopf auftreten, ist der Test positiv und eine Läsion des triangulären fibrokartilaginären Komplexes (TFCC) ist wahrscheinlich [14]. …”

Section: Presstestunclassified

Klinische Testverfahren zur Überprüfung der Stabilität im distalen Radioulnargelenk

et al. 2015

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“…Es zeigten sich keine positiven Tests. Es wurde folglich von einer 100 % Spezifität dieses Tests ausgegangen [49]. Es ist anzumer ken, dass nicht alle Patienten arthroskopiert wurden, somit ist die Angabe einer 100 % Sensitivität unter Vorbehalt zu interpre tieren.…”

Section: Dorso-palmarer Stress-testunclassified

“…Wissenschaftlich gegen den Goldstandard der Handgelenksarth roskopie evaluiert und von adäquater Güte sind das Ulna-FoveaZeichen, der dorso-palmare Stress-Test und der Press-Test [13,46,49]. Diese Verfahren sollten bevorzugt in der klinischen Untersuchung eingesetzt werden.…”

Section: Zusammenfassungunclassified

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Die Instabilität des distalen Radioulnargelenks – Zur Wertigkeit klinischer und röntgenologischer Testverfahren – eine Literaturübersicht

Spies¹,

Müller

Oppermann

et al. 2014

Handchir Mikrochir plast Chir

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The distal radioulnar joint (DRUJ) plays a tremendous role regarding the functionality of the upper extremity. Lesions of the DRUJ can limit the functionality of the upper extremity decisively. Many clinical and radiological procedures are used to diagnose instability of the DRUJ. Up to now, there has not been a general consensus concerning the standardisation of the evaluation of DRUJ instability. The TFCC (triangular fibrocartilage complex) with its ligamentum subcruentum insertions at the fovea ulnaris and at the basis of the processus styloideus ulnae is in conjunction with the membrana interossea a very important stabiliser of the DRUJ. A fall on the extended hand or a forceful wrist rotation can usually cause injuries to the stabilisers. Ulnar-sided pain, limited pronosupination and loss of grip strength are clinically apparent. Both clinical tests and radiological procedures should be judged regarding their specific efficacies. These tests have to be evaluated in comparison to the gold standard of wrist arthroscopy. Each test alone is not able to verify DRUJ instability on a regular basis. The introduction of a standardised diagnostic procedure including anamnesis and specific clinical and radiological tests should be established. The standardisation ought to be maintained strictly in order to guarantee a growing test efficacy. Finally, high diagnostic reliability is based on a thorough examination which includes complementary clinical and radiological procedures.

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“Press Test” for Office Diagnosis of Triangular Fibrocartilage Complex Tears of the Wrist

Cited by 98 publications

References 0 publications

Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU)

Ulnar-sided wrist pain in the athlete (TFCC/DRUJ/ECU)

Klinische Testverfahren zur Überprüfung der Stabilität im distalen Radioulnargelenk

Die Instabilität des distalen Radioulnargelenks – Zur Wertigkeit klinischer und röntgenologischer Testverfahren – eine Literaturübersicht

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