Test for tight retinacular [ collateral ] ligaments

Test for tight retinacular [ collateral ] ligaments

ByDr.Aditi Pandya
  • The Harness-Zancolli test is another name for this evaluation.
  • The retinacular ligaments’ tightness is evaluated with this technique.
  • When a patient complains about their wrist joint, the therapist will perform this clinical examination.

What is the importance of the Test for tight retinacula [ collateral ] ligaments?

The structures around the proximal interphalangeal joints are examined with this test.

How do you check the test for tight retinacula [ collateral ] ligaments:

  • The starting position of the exam for the test patient is the seated position.
  • The examiner [therapist] flexes the distal interphalangeal joint while holding the proximal interphalangeal joints in a neutral position.

The test for tight retinacular [collateral] ligaments gives the following results:

  • The proximal interphalangeal capsule or retinacular[collateral] ligaments are tight if the distal interphalangeal joint is rigid.
  • The retinacular ligaments are tight and the capsule is normal if the proximal interphalangeal joint can bend and the distal interphalangeal joints can bend readily.
  • The patient does not make any aggressive movements or stay motionless throughout the exam.

Thumb grind test:

What is the importance of the thumb grind test?

This test is performed to examine the wrist joint’s degenerative joint condition.

How do you check the thumb grind test?

  • The patient is seated during the examination.
  • With the aid of the other hand, the examiner grasps the patient’s thumb just below the metacarpophalangeal joint while holding the patient’s hand.
  • The axial compression and rotation of the metacarpophalangeal joints are then applied by the examiner (therapist).

What is the result of the thumb grind test?

  • If the metacarpophalangeal or metacarpotrapezial joint, which is where the pain is coming from, has degenerative joint disease.
  • Any wrist or hand joint that experiences axial compression while rotating may also show a positive test in the same situations.

Physiotherapist, Samarpan Physiotherapy Clinic, Bapunagar Branch

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