Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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SPECIFIC TESTS Phalen’s test = forced flexion of the wrist

Significance.

This is a compression test for the median nerve in the carpal tunnel. Release of the pressure causes paraesthesia in the territory of the median nerve – 3l-> fingers medially and palmar.

Positioning.

The subject presents the hand.The examiner grasps the distal forearm with the
contralateral hand. With the other hand he takes hold of the subject’s hand.

Procedure.

Bring the subject’s wrist passively into full flexion and keep it in that position
for about a minute. Then suddenly release the compression.

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