Wrist & Hand
TFCC & Impingement
Evidence: suggestive
Press Test (Sit-to-Stand) Special Test
Orthopedic Physical Examination & Clinical Assessment Guide
What is it used for?
- Functional test for TFCC Tear.
How to Perform
- Action: Patient sits in a chair with armrests. Ask them to push themselves up using their hands (wrists extended).
Interpretation of Results
- Positive Test: Significant ulnar-sided wrist pain that prevents the patient from lifting their weight.
- Why: Weight-bearing extends the wrist and axially loads the ulnar side.
Diagnostic Accuracy
- Sensitivity: 100%
Clinical Context & Limitations
The Press Test (Sit-to-Stand) should be considered as one component of a comprehensive musculoskeletal assessment. No single special test has perfect diagnostic accuracy; thus, clinical decision-making should integrate test results with patient-reported symptoms, mechanism of injury, functional impairment, and relevant imaging.
Clinicians should be aware of potential false-positive results in patients with pain sensitisation, muscle guarding, or poor relaxation. For the Wrist & Hand region, combining the Press Test (Sit-to-Stand) with complementary examination tests significantly improves overall diagnostic confidence.
References
- Lester, B. et al. (1995). Journal of Hand Surgery.