Article

To describe and determine the usefulness of provocative tests for the wrist and elbowa literature searchwas
performed. A total of 31 diagnostic studies were identified, assessed, and ranked. The highest ranking tests
had ameanpositive likelihood ratio of
2.0, or amean negative likelihood ratio of0.5, from more than one
study. The highly recommended tests were found to be the Phalen's, Tinel's test for carpal tunnel and cubital
tunnel, and modified compression test, scaphoid shift test, and elbow flexion test. A total of 14 tests met our
requirements to be considered a recommended test.
A greater number of provocative tests either do not
have adequate data to support their usefulness or their clinical utility has not been assessed. This information
may assist hand therapists in choosing which provocative tests are considered clinically useful in
improving the probability of the presence or absence of pathology in the hand, wrist, and elbow

Langue : ANGLAIS