Wrist & Hand Muscle & Tendon Evidence: uncertain

Bunnel-Littler Test Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

Bunnel-Littler Test Orthopedic Special Test

What is it used for?

  • Differentiating Intrinsic Muscle Tightness from Joint Capsule Tightness.

How to Perform

  • Step 1: Extend MCP joint and flex PIP joint.
  • Step 2: Flex MCP joint and flex PIP joint.

Interpretation of Results

  • Intrinsic Tightness: PIP flexes more when MCP is flexed (relaxes the intrinsics).
  • Capsular Tightness: PIP movement is restricted equally in both positions.

References