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Athletic Training & Sports Medicine Center

Examination Links:

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Alphabetical Listing
of Examinations
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Head

Cervical Spine

Thoracic Spine

Lumbar Spine

Shoulder

Elbow & Radioulnar

Wrist

Hand & Fingers

Sacroiliac Joint

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Ipsilateral Prone Kinetic Test
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FABER Test
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Passive Extension & Internal 
Rotation of Ilium on Sacrum

Passive Flexion & External 
Rotation of Ilium on Sacrum

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Passive External Rotation 
of Hip
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Pelvic Rocking Test
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Gapping Test
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Prone Gapping (Hibb's) Test
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Approximation Test
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Squish Test
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Sacroiliac Rocking Test
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Sacral Apex Pressure Test
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Torsion Stress Test
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Femoral Shear Test
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Superoinferior Symphysis
Pubic Stress Test

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Piedallu's Sign
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Flamingo Maneuver or Test
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Gaenslen's Sign
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Mazion's Pelvic Maneuver
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Yeoman's Test
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Sit-up Test
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Hip & Thigh

Knee

Lower Leg

Ankle

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Foot
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Morton Test
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Range of Motion
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Goniometry
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Manual Muscle Testing
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Reflexes
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Vital Signs
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Body Composition
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Mallet Finger Test

Examination type

ROM test, tendonous integrity

Patient & Body Segment Positioning

The patient should be sitting with the forearm in pronation and the hand relaxed on a table or other surface.

Examiner Position

The examiner should hold the hand steady and isolate the involved finger by holding the involved finger at the middle phalanx.

Tissues Being Tested

The extensor tendon at the DIP joint

Performing the Test

While the examiner is holding the hand still and isolating the involved finger by holding it at the middle phalanx, the patient should be relaxed. Once the patient is relaxed, the examiner should instruct the patient to try to extend the finger at the DIP joint.

Positive Test

Inability to actively extend the finger at the DIP joint

Interpretation

Avulsion of the extensor tendon at the insertion on the base of the distal phalanx

Common errors in performing exam

The examiner could make an error in where he is holding the hand to isolate the injured finger. Another error is if the examiner does not know what he is looking for.

Factors possibly resulting in misinterpretation

The way the hand is held could be a factor. If the wrist is in extension, the test could be falsely interpreted.

Related tests

Boutonniere Deformity Test

References

Booher, James M., & Thibodeau Gary A. (2000). Athletic Injury Assessment Fourth Edition. U.S.A.: McGraw-Hill Companies, INC

Magee, David J. (2002). Orthopedic Physical Assessment. Philadelphia, PA: Elsevier

Links:

http://www.pncl.co.uk/~belcher/Tendon%20injury.html

http://www.physsportsmed.com/issues/1998/06jun/lairmore.htm

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