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:
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.