Orthopedics Book

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Phalen's Maneuver

Aka: Phalen's Maneuver, Phalen's Test
  1. Indication
    1. Carpal Tunnel Syndrome evaluation
  2. Efficacy
    1. Test Sensitivity: 70 to 80%
    2. Test Specificity: 80%
  3. Technique
    1. One minute acute wrist flexion against resistance
    2. Inverse praying position
      1. Place each hand dorsum against each other
  4. Interpretation: Positive test suggests Median Neuropathy
    1. Wrist flexion reproduces Carpal Tunnel symptoms
    2. Most specific if symptoms occur by 30 seconds

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