Wrist & Hand Assessment

Lunotriquetral Ballotement Test / Shuck Test | Wrist Instability

Buying options
Lunotriquetral Ballotement Test

Lunotriquetral Ballotement Test / Shuck Test | Lunotriquetral Ligament Assessment

Lunotriquetral Ballotement Test also known as Shuck Test is an orthopedic test to assess for lunotriquetral ligament injuries.

While most commonly the SL ligament and TFCC are affected in wrist ligament injuries, the wrist is a complex region and requires a thorough assessment as missed ligament injuries may result in persistent pain, instability, reduced grip force and range of motion and could lead to, early, osteoarthritis. Prosser et al. in (2011) evaluated the Lunotriquetral Ballottement Test or Shuck Test on its diagnostic accuracy and report a positive likelihood ratio of 1.03 and negative likelihood ratio of 0.8 when compared with arthroscopy findings which result in a weak clinical value.

To conduct the LT test, the patient is in sitting position and the forearm and hand are placed on the treatment table. The test is a dorsopalmar shear test. So the fingers of one hand locate and grab the lunate and the fingers of the other hand grab the adjacent triquetrum. Then you fixate the lunate and perform a dorsopalmar glide of the triquetrum. 

A positive test indicates noticeable laxity compared to the unaffected hand as well as the reproduction of the patient’s painful symptoms.

 

Other common tests to assess instability of the wrist:

 

21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE

Physiotutors Free Assessment E-book

 

References

Prosser, R., Harvey, L., LaStayo, P., Hargreaves, I., Scougall, P., & Herbert, R. D. (2011). Provocative wrist tests and MRI are of limited diagnostic value for suspected wrist ligament injuries: a cross-sectional study. Journal of physiotherapy57(4), 247-253.

LIKE WHAT YOU’RE LEARNING?

BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK

  • 600+ Pages e-Book
  • Interactive Content (Direct Video Demonstration, PubMed articles)
  • Statistical Values for all Special Tests from the latest research
  • Clinical Value Recommendation
  • Detailed descriptions & searchable
  • Currently on Version 5.0 – Free lifetime updates
  • And much more!
E-Book

ALL ORTHOPEDIC TESTS IN ONE PLACE

SEE ALL PRODUCTS
Assessment app banner
Assessment E-book
Reviews

What customers have to say about the Assessment E-Book

Wait before you leave! LEARN TO DISTINGUISH SHOULDER FACTS FROM FICTION IN THIS VIDEO SERIES

Subscribe to this FREE VIDEO SERIES
with Shoulder Expert Filip Struyf