Wrist & Hand TFCC & Impingement Evidence: uncertain

Ulnocarpal Abutment Test Special Test

Orthopedic Physical Examination & Clinical Assessment Guide

Ulnocarpal Abutment Test Orthopedic Special Test

What is it used for?

  • Diagnosing TFCC Tears or Ulnocarpal Impingement Syndrome.

How to Perform

  • Action: Examiner ulnarly deviates the patient's wrist while applying an axial compressive load.

Interpretation of Results

  • Positive Test: Reproduction of ulnar-sided wrist pain, clicking, or popping.
  • Why: This compresses the TFCC and ulnar carpus against the distal ulna.

References

  • Nakamura, R. et al. (1997). Journal of Hand Surgery.