'Press test' for office diagnosis of triangular fibrocartilage complex tears of the wrist

B. Lester, J. Halbrecht, I. Martin Levy, R. Gaudinez

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

We present a simple provocative diagnostic office test for detection of triangular fibrocartilage complex tears of the wrist. Twenty-seven patients with a working diagnosis of a triangular fibrocartilage complex tear complained of wrist pain caused by forceful use; 18 had a history of trauma. A 'press test' was performed in each, requiring the seated patient to push the body weight up off a chair using the affected wrist, creating an axial ulnar load. A positive test provoked focal ulnar wrist pain replicating the discomfort that had prompted the patient to seek medical attention. Thirteen patients improved with conservative treatment. Seventeen underwent magnetic resonance imaging (showing 13 tears and 4 normal results) and two patients had arthrograms (both had tears). Fourteen patients had wrist arthroscopy; all had triangular fibrocartilage complex tears, which were debrided, with postoperative clinical improvement. As verified by arthroscopy, the press test had 100% sensitivity in preoperative tear detection compared with 79% for magnetic resonance imaging. The press test is recommended as a useful, free, noninvasive clinical test for triangular fibrocartilage complex tears of the wrist.

Original languageEnglish (US)
Pages (from-to)41-45
Number of pages5
JournalAnnals of Plastic Surgery
Volume35
Issue number1
StatePublished - 1995
Externally publishedYes

Fingerprint

Triangular Fibrocartilage
Wrist
Tears
Arthroscopy
Magnetic Resonance Imaging
Pain
Routine Diagnostic Tests
Body Weight
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

'Press test' for office diagnosis of triangular fibrocartilage complex tears of the wrist. / Lester, B.; Halbrecht, J.; Levy, I. Martin; Gaudinez, R.

In: Annals of Plastic Surgery, Vol. 35, No. 1, 1995, p. 41-45.

Research output: Contribution to journalArticle

@article{e935bf720e67407e9c5bc6d2e7c4e4e2,
title = "'Press test' for office diagnosis of triangular fibrocartilage complex tears of the wrist",
abstract = "We present a simple provocative diagnostic office test for detection of triangular fibrocartilage complex tears of the wrist. Twenty-seven patients with a working diagnosis of a triangular fibrocartilage complex tear complained of wrist pain caused by forceful use; 18 had a history of trauma. A 'press test' was performed in each, requiring the seated patient to push the body weight up off a chair using the affected wrist, creating an axial ulnar load. A positive test provoked focal ulnar wrist pain replicating the discomfort that had prompted the patient to seek medical attention. Thirteen patients improved with conservative treatment. Seventeen underwent magnetic resonance imaging (showing 13 tears and 4 normal results) and two patients had arthrograms (both had tears). Fourteen patients had wrist arthroscopy; all had triangular fibrocartilage complex tears, which were debrided, with postoperative clinical improvement. As verified by arthroscopy, the press test had 100{\%} sensitivity in preoperative tear detection compared with 79{\%} for magnetic resonance imaging. The press test is recommended as a useful, free, noninvasive clinical test for triangular fibrocartilage complex tears of the wrist.",
author = "B. Lester and J. Halbrecht and Levy, {I. Martin} and R. Gaudinez",
year = "1995",
language = "English (US)",
volume = "35",
pages = "41--45",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - 'Press test' for office diagnosis of triangular fibrocartilage complex tears of the wrist

AU - Lester, B.

AU - Halbrecht, J.

AU - Levy, I. Martin

AU - Gaudinez, R.

PY - 1995

Y1 - 1995

N2 - We present a simple provocative diagnostic office test for detection of triangular fibrocartilage complex tears of the wrist. Twenty-seven patients with a working diagnosis of a triangular fibrocartilage complex tear complained of wrist pain caused by forceful use; 18 had a history of trauma. A 'press test' was performed in each, requiring the seated patient to push the body weight up off a chair using the affected wrist, creating an axial ulnar load. A positive test provoked focal ulnar wrist pain replicating the discomfort that had prompted the patient to seek medical attention. Thirteen patients improved with conservative treatment. Seventeen underwent magnetic resonance imaging (showing 13 tears and 4 normal results) and two patients had arthrograms (both had tears). Fourteen patients had wrist arthroscopy; all had triangular fibrocartilage complex tears, which were debrided, with postoperative clinical improvement. As verified by arthroscopy, the press test had 100% sensitivity in preoperative tear detection compared with 79% for magnetic resonance imaging. The press test is recommended as a useful, free, noninvasive clinical test for triangular fibrocartilage complex tears of the wrist.

AB - We present a simple provocative diagnostic office test for detection of triangular fibrocartilage complex tears of the wrist. Twenty-seven patients with a working diagnosis of a triangular fibrocartilage complex tear complained of wrist pain caused by forceful use; 18 had a history of trauma. A 'press test' was performed in each, requiring the seated patient to push the body weight up off a chair using the affected wrist, creating an axial ulnar load. A positive test provoked focal ulnar wrist pain replicating the discomfort that had prompted the patient to seek medical attention. Thirteen patients improved with conservative treatment. Seventeen underwent magnetic resonance imaging (showing 13 tears and 4 normal results) and two patients had arthrograms (both had tears). Fourteen patients had wrist arthroscopy; all had triangular fibrocartilage complex tears, which were debrided, with postoperative clinical improvement. As verified by arthroscopy, the press test had 100% sensitivity in preoperative tear detection compared with 79% for magnetic resonance imaging. The press test is recommended as a useful, free, noninvasive clinical test for triangular fibrocartilage complex tears of the wrist.

UR - http://www.scopus.com/inward/record.url?scp=0029086976&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029086976&partnerID=8YFLogxK

M3 - Article

VL - 35

SP - 41

EP - 45

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 1

ER -