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