Supination Lift Test: Difference between revisions
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== | Clinically Relevant Anatomy<br><br>TFCC is main stabilizer of distal radio ulnar joint, in addition to contributing to ulno carpal stability.it is important in loading & stabilizing of distal radio ulnar joint.<br>TFCC normally not only stabilizes the ulnar head in sigmoid notch of radius but also acts as a buttress to support proximal carpal row | ||
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Purpose<br> | |||
This test helps to determine whether pathology is presented in the triangular fibrocartilage complex . The ‘‘Supination Lift Test’’ has also been described for localized tear to the peripheral, dorsal Triangular fibrocartilage complex. With this test, pain is reproduced when the patient attempts to lift the examination table with the palm flat on the underside of the table, This forces a load across the TFCC with the wrist supinated and extended, causing dorsal impingement, and is useful in the diagnosis of peripheral, dorsal TFCC tear<ref>Buterbaugh GA, Brown TR, Horn PC. Ulnar-sided wrist pain in athletes. Clin SportsMed</ref><br> | This test helps to determine whether pathology is presented in the triangular fibrocartilage complex . The ‘‘Supination Lift Test’’ has also been described for localized tear to the peripheral, dorsal Triangular fibrocartilage complex. With this test, pain is reproduced when the patient attempts to lift the examination table with the palm flat on the underside of the table, This forces a load across the TFCC with the wrist supinated and extended, causing dorsal impingement, and is useful in the diagnosis of peripheral, dorsal TFCC tear<ref>Buterbaugh GA, Brown TR, Horn PC. Ulnar-sided wrist pain in athletes. Clin SportsMed</ref><br> | ||
Technique<br> | |||
The patient places his/her palms on the undersurface of a table and attempts to lift. Onset of pain upon stabilizing body weight indicates a positive supination Lift test<ref>Ahn, A. K., Chang, D., &amp; Plate, A. M. (2006). Triangular fibrocartilage complex tears: A review. Bulletin of the NYU Hospital for Joint Diseases</ref><br>This will also result in pain or clicking if the TFCC is involved<ref>Palmer AK, Werner FW. Triangular fibrocartilage complex of the wrist: anatomy and function. J Hand Surgery</ref><br> | The patient places his/her palms on the undersurface of a table and attempts to lift. Onset of pain upon stabilizing body weight indicates a positive supination Lift test<ref>Ahn, A. K., Chang, D., &amp;amp; Plate, A. M. (2006). Triangular fibrocartilage complex tears: A review. Bulletin of the NYU Hospital for Joint Diseases</ref><br>This will also result in pain or clicking if the TFCC is involved<ref>Palmer AK, Werner FW. Triangular fibrocartilage complex of the wrist: anatomy and function. J Hand Surgery</ref><br> | ||
[http://www.youtube.com/watch?v=32ywiqilGdg&feature=results_main&playnext=1&list=PLDB36418E6B90B94E | [http://www.youtube.com/watch?v=32ywiqilGdg&feature=results_main&playnext=1&list=PLDB36418E6B90B94E www.youtube.com/watch]<br> | ||
Evidence | |||
Mikic looked at 180 wrist joints in 100 cadavers, ranging in age from fetuses to 94 years.He demonstrated that degeneration of the triangular fibrocartilage complex (TFCC) begins in the third decade of life and progressively increases in frequency and severity in subsequent decades. After the fifth decade of life, he noted no normal appearing TFCCs<ref>Mikic ZD. Age changes in the triangular fibrocartilage of the wrist joint. J Anat. Jun 1978</ref> | Mikic looked at 180 wrist joints in 100 cadavers, ranging in age from fetuses to 94 years.He demonstrated that degeneration of the triangular fibrocartilage complex (TFCC) begins in the third decade of life and progressively increases in frequency and severity in subsequent decades. After the fifth decade of life, he noted no normal appearing TFCCs<ref>Mikic ZD. Age changes in the triangular fibrocartilage of the wrist joint. J Anat. Jun 1978</ref> | ||
Resources | |||
add any relevant resources here | add any relevant resources here | ||
References<br> | |||
<references /> | <references /> | ||
Revision as of 20:08, 15 April 2012
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Clinically Relevant Anatomy
TFCC is main stabilizer of distal radio ulnar joint, in addition to contributing to ulno carpal stability.it is important in loading & stabilizing of distal radio ulnar joint.
TFCC normally not only stabilizes the ulnar head in sigmoid notch of radius but also acts as a buttress to support proximal carpal row
==
==
Purpose
This test helps to determine whether pathology is presented in the triangular fibrocartilage complex . The ‘‘Supination Lift Test’’ has also been described for localized tear to the peripheral, dorsal Triangular fibrocartilage complex. With this test, pain is reproduced when the patient attempts to lift the examination table with the palm flat on the underside of the table, This forces a load across the TFCC with the wrist supinated and extended, causing dorsal impingement, and is useful in the diagnosis of peripheral, dorsal TFCC tear[1]
Technique
The patient places his/her palms on the undersurface of a table and attempts to lift. Onset of pain upon stabilizing body weight indicates a positive supination Lift test[2]
This will also result in pain or clicking if the TFCC is involved[3]
Evidence
Mikic looked at 180 wrist joints in 100 cadavers, ranging in age from fetuses to 94 years.He demonstrated that degeneration of the triangular fibrocartilage complex (TFCC) begins in the third decade of life and progressively increases in frequency and severity in subsequent decades. After the fifth decade of life, he noted no normal appearing TFCCs[4]
Resources
add any relevant resources here
References
- ↑ Buterbaugh GA, Brown TR, Horn PC. Ulnar-sided wrist pain in athletes. Clin SportsMed
- ↑ Ahn, A. K., Chang, D., &amp; Plate, A. M. (2006). Triangular fibrocartilage complex tears: A review. Bulletin of the NYU Hospital for Joint Diseases
- ↑ Palmer AK, Werner FW. Triangular fibrocartilage complex of the wrist: anatomy and function. J Hand Surgery
- ↑ Mikic ZD. Age changes in the triangular fibrocartilage of the wrist joint. J Anat. Jun 1978
