VARUS STRESS TEST

(WRIST AND HAND)

​​• Test positioning

 

The therapist maintains stabilization of the proximal bone between the thumb and forefinger and grasps the distal bone (usually bones comprising a hinge joint).

 

​• Action

 

The therapist provides a varus force to the joint, creating a fulcrum while attempting to "gap the joint".

 

​• Positive finding

 

Any excessive gapping that is noted when compared to the uninvolved side may indicate a collateral ligament tear.

 

​• Special considerations & comments

 

The therapist should perform this test with extreme care so no further damage is created with the varus stress that is applied.

The Varus Stress Test for the wrist and hand incorporates principles from Dr. James Cyriax's work in orthopedic medicine and Dr. Don O'Donoghue's contributions to understanding ligament stability and injuries.